Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chan M. Park, DDS, MD, PC and Benjamin R. Shimel, DDS, PC a PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1124660014

Chan M. Park, DDS, MD, PC and Benjamin R. Shimel, DDS, PC a PA is an Oral and Maxillofacial Surgery (Dentist) in San Ramon, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

111 Deerwood Rd Ste 130
San Ramon, CA 94583-2194
Phone: (925) 217-4884
Fax: (925) 217-4895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1124660014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chan Park — Partner · (925) 217-4884
Other names Sycamore Oral & Maxillofacial Surgery
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address111 Deerwood Rd Ste 130, San Ramon, CA 94583-2194

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