Clinton H. Park, DDS

General Practice Dentistry · Encinitas, CA

Individual Active NPI

NPI number 1750489266

Practice location

1340 Encinitas Blvd
Ste. 100
Encinitas, CA 92024-2844
Phone
(760) 942-3900
Fax
(760) 942-3909

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NPI record

NPI
1750489266
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 48531 CA

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone
(714) 508-3600
Fax
(714) 368-2092

About Dr. Park

Clinton H. Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1340 Encinitas Blvd, Ste. 100, Encinitas, CA 92024-2844. The NPI number 1750489266 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.

Dr. Park lists a license in the registry: #48531 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clinton H. Park, DDS?

The NPI number is 1750489266.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (760) 942-3900.

Where is Dr. Park located?

1340 Encinitas Blvd, Ste. 100, Encinitas, CA 92024-2844.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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