Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC SONG JOON PARK, D.D.S.
Active Sole ProprietorDR. ERIC SONG JOON PARK, D.D.S. is a General Dentistry healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1356560916 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1356560916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.124950905821 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
48533 (CA)4852 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2180 LAKE TAHOE BLVDSOUTH LAKE TAHOE, CA, 961506418Browse CA providers · Browse ZIP 96150
- Phone
- 5305413893
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY R DURKIN | D.D.S. | 1336149970 |
| DR. JEFF CHAMBERLAIN | DDS | 1043201270 |
| DR. ROSS W. GROELZ | DDS | 1568437200 |
| DR. CHRIS ALLEN CERCEO | D.D.S. | 1629091012 |
| DR. JASON RANDALL ACEVEDO | DDS | 1326127663 |
| DR. DONALD MINEO YAMAOKA | DDS | 1467526285 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.