Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL PARK, DMD
ActiveSAMUEL PARK, DMD is a Dentist healthcare provider located in TINKER AFB, Oklahoma. NPI 1609448646 is currently active in the NPPES registry. Verify at CMS.
Dentist · TINKER AFB, OK
Registration Details
- NPI Number
- 1609448646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2021 (5.0832411858515 yrs)
- Last Updated
- Nov 24, 2024
- License
-
0401417587 (VA)
Practice Information
- Address
-
7050 AIR DEPOT BLVD BLDG 1094TINKER AFB, OK, 731458716Browse OK providers · Browse ZIP 73145
- Phone
- 9542907165
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in TINKER AFB, OK
| Name | Credential | NPI |
|---|---|---|
| DR. BRANDON H HORTON | DDS | 1396726410 |
| DR. MAURICIO CHAVES CAROTA | DDS | 1578546164 |
| DR. WILLIAM BUTCHER | DDS | 1184674517 |
| WILLIAM ASHER WRIGHT | D.D.S. | 1578796959 |
| DR. JAMIE L SMITH | DDS | 1730409376 |
| DR. CAROLYN ROSE HETRICK | D.D.S. | 1801233861 |
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.