Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

D Park DDS Inc

Organization Dentist · NPI 1174869796

D Park DDS Inc provides Dentist services 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (209) 523-5991
Show map & directions

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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