Provider Profile

Yong Tae Park

Unclaimed Profile

About Yong Tae Park

Yong Tae Park is a healthcare provider in Elk Grove, CA specializing in endodontics. This provider record is associated with NPI 1952969354.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Endodontics (Primary)

Credentials & Licensing

CA · Dental LicenseDental Board of California
No. 103561CurrentExpires Aug 2028
NPINational Provider Identifier
1952969354Issued 2019

Snapshot · verify with the board ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Yong Tae Park?

Yong Tae Park is an endodontics in Elk Grove, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Yong Tae Park's address?

Yong Tae Park is listed at 9184 E Stockton Blvd Ste A, Elk Grove, CA 95624. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Yong Tae Park?

The number on file is (201) 835-6802. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Yong Tae Park's NPI number?

Yong Tae Park's National Provider Identifier is 1952969354. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Yong Tae Park been practicing?

Yong Tae Park has 7+ years experience. Registered with an NPI since 2019. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Yong Tae Park confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Yong Tae Park. If this is you, claiming it is free.

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