Connor Nicholas Park, DDS

Dentist · Lakewood, WA

Individual Active NPI

NPI number 1174407902

Practice location

5440 Steilacoom Blvd SW Apt 304
Lakewood, WA 98499-3457
Phone
(541) 953-7862

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NPI record

NPI
1174407902
Entity type
Individual (Type 1)
Enumeration date
August 4, 2025
Last updated
August 4, 2025
Certified
August 4, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 14226880-9926 UT

About Dr. Park

Connor Nicholas Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5440 Steilacoom Blvd SW Apt 304, Lakewood, WA 98499-3457. The NPI number 1174407902 was assigned on August 4, 2025 and the record was last updated on August 4, 2025.

Dr. Park lists a license in the registry: #14226880-9926 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Connor Nicholas Park, DDS?

The NPI number is 1174407902.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (541) 953-7862.

Where is Dr. Park located?

5440 Steilacoom Blvd SW Apt 304, Lakewood, WA 98499-3457.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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