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

Connor Nicholas Park, DDS

Individual provider Dentist · NPI 1174407902

Connor Nicholas Park, DDS is a Dentist in Lakewood, Washington. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5440 Steilacoom Blvd SW Apt 304
Lakewood, WA 98499-3457
Phone: (541) 953-7862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14226880-9926 (UT)

Record details

NPI number1174407902
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address5440 Steilacoom Blvd Sw Apt 304, Lakewood, WA 98499-3457

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