Organization
M PARK DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H PARK DDS (OWNER/PRESIDENT)
(310) 901-2300
Entity
Organization
Contact information
Practice address
23326 HAWTHORNE BLVD STE 320, TORRANCE, CA 90505-3760
(310) 901-2300
Mailing address
23326 HAWTHORNE BLVD STE 320, TORRANCE, CA 90505-3760
(310) 901-2300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106120
DENTIST
CA
Enumeration date
01/24/2023
Last updated
01/24/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up