D Park Mph Dental, Inc. (NPI# 1508462649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1508462649 |
| Entity Type | Organization |
| Organization Name | D PARK MPH DENTAL, INC. |
| Practice Address |
12021 Wilmington Ave Ste 1100 Los Angeles CA 90059-3019 |
| Practice Telephone | 8885853368 |
| Practice Fax Number | 6614712121 |
| Mailing Address |
12021 Wilmington Ave Ste 1100 Los Angeles CA 90059-3019 |
| Mailing Telephone | 8885853368 |
| Mailing Fax Number | 6614712121 |
| Authorized Official Name | David S Park (DENTIST) |
| Authorized Official Telephone | 3104031117 |
| Organization Subpart | Yes, this organization is a Subpart |
| Parent Organization Name | D PARK MPH DENTAL, INC. |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 1223G0001X | Dentist · General Practice | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Dental of MLK | Doing Business As Name - Organization |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063008233 | Woojin Lee | Dentist | 3060 W Olympic Blvd Apt 514, Los Angeles, CA 90006-3839 | 2020-12-11 |
| 1538765086 | Kevin Michael Hadidjaja | Dentist | 905 E 2nd St Apt 336, Los Angeles, CA 90012-4465 | 2020-12-09 |
| 1316542798 | Navid Esfandi | Dentist | 1944 Glendon Ave Apt 104, Los Angeles, CA 90025-4621 | 2020-12-02 |
| 1528662921 | Life Power Group | Dentist | 11901 Santa Monica Blvd Ste 203, Los Angeles, CA 90025-2783 | 2020-11-25 |
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| Find all providers in LOS ANGELES | ||||
| Street Address |
12021 WILMINGTON AVE STE 1100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891399820 | Omowunmi M Abioro | Nurse Practitioner | 1670 E. 120th Street Los Angeles California., Los Angeles, CA 90059 | 2020-11-30 |
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| Find all providers in zip 90059 | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on D Park Mph Dental, Inc..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.