Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS LEE PARK, DDS
ActiveDR. DOUGLAS LEE PARK, DDS is a Pediatric Dentistry healthcare provider located in GRESHAM, Oregon. NPI 1366521122 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GRESHAM, OR
Registration Details
- NPI Number
- 1366521122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.796266015064 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D6620 (OR)
Practice Information
- Address
-
1201 SE 223RD AVESUITE 240GRESHAM, OR, 97030Browse OR providers · Browse ZIP 97030
- Phone
- 5036669800
- Fax
- 5036666787
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN H FRICK DMD PC | DMD | 1215926720 |
| DR. JIYOUNG ELIZABETH LEE | DMD | 1477567154 |
| FRANK JAMES FOREMAN | DDS | 1013015452 |
| DR. KRISTINA TEE | D.D.S. | 1780924951 |
| XUE ZHAO | — | 1992259048 |
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.