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

Tracy Park DDS a Professional Corporation

Organization Dentist · NPI 1710246798

Tracy Park DDS a Professional Corporation is a Dentist in Ceres, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

2760 3rd St Ste A
Ceres, CA 95307-3220
Phone: (209) 537-4427
Fax: (209) 537-4437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Clinic/Center Taxonomy 261QD0000X · Licence 41769 (CA)

Record details

NPI number1710246798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Park — Dentist/Owner · (209) 537-4427
NPI enumeratedMay 10, 2012
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address2760 3rd Street, Suite A, Ceres, CA 95307-3220

Other providers in Ceres