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

Amy Hyemin Park

Individual provider Dentist · NPI 1164360996

Amy Hyemin Park is a Dentist in Travis AFB, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-7000
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 113391 (CA)

Record details

NPI number1164360996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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