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

Dr. Eric Song Joon Park, DDS

Individual provider General Practice Dentistry · NPI 1356560916

Dr. Eric Song Joon Park, DDS is a General Practice Dentistry in South Lake Tahoe, California. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2007
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

2180 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6418
Phone: (530) 541-3893
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 48533 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 4852 (NV)

Record details

NPI number1356560916
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESJuly 8, 2007

Other providers in South Lake Tahoe