Ellen Park, DDS
Dentist · Redlands, CA
Practice location
620 Alabama StRedlands, CA 92373-8059
- Phone
- (909) 798-5010
NPI record
- NPI
- 1508310673
- Entity type
- Individual (Type 1)
- Enumeration date
- August 6, 2016
- Last updated
- August 6, 2016
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
100651 | CA |
About Dr. Park
Ellen Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 620 Alabama St, Redlands, CA 92373-8059. The NPI number 1508310673 was assigned on August 6, 2016 and the record was last updated on August 6, 2016.
Dr. Park lists a license in the registry: #100651 (CA) 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 Ellen Park, DDS?
The NPI number is 1508310673.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (909) 798-5010.
Where is Dr. Park located?
620 Alabama St, Redlands, CA 92373-8059.
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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