Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YONG TAE PARK
ActiveYONG TAE PARK is a Endodontics healthcare provider located in ELK GROVE, California. NPI 1952969354 is currently active in the NPPES registry. Verify at CMS.
Endodontics · ELK GROVE, CA
Registration Details
- NPI Number
- 1952969354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2019 (7.2318439494185 yrs)
- Last Updated
- Apr 16, 2023
- License
-
DDS103561 (CA)
Practice Information
- Address
-
9184 E STOCKTON BLVD STE AELK GROVE, CA, 956249510Browse CA providers · Browse ZIP 95624
- Phone
- 2018356802
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in ELK GROVE, CA
| Name | Credential | NPI |
|---|---|---|
| SHELDON M SEALEY | DMD | 1821301201 |
| KAREN KIMZEY | DDS | 1376967869 |
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.