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

D Park DDS Inc

Organization Dentist · NPI 1174869796

D Park DDS Inc is a Dentist in Modesto, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 Coffee Rd Ste 1A
Modesto, CA 95355-4228
Phone: (209) 523-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 53724 (CA)

Record details

NPI number1174869796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Park — Owner · (310) 403-1117
Other names Coffee Dental Group
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012
Mailing address1130 Coffee Rd Ste 1a, Modesto, CA 95355-4228

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