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

Andrew C Park, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407040116

Andrew C Park, DMD is a Student in an Organized Health Care Education/Training Program in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 59312 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407040116
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 5, 2007
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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