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

Ellie Park

Individual provider Dentist · NPI 1295434900

Ellie Park is a Dentist in Houston, Texas. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

7500 Cambridge St Ste 5342
Houston, TX 77054-2032
Phone: (713) 486-4136
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019033240 (IL)

Record details

NPI number1295434900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 1, 2023
Mailing address7500 Cambridge St Ste 5342, Houston, TX 77054-2032

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