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

Samuel Park, DMD

Individual provider Dentist · NPI 1609448646

Samuel Park, DMD is a Dentist in Tinker AFB, Oklahoma. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7050 Air Depot Blvd Bldg 1094
Tinker AFB, OK 73145-8716
Phone: (954) 290-7165
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 76 Nealy Blvd Bldg 92, Hampton, VA 23665-2022 — (757) 225-7630

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401417587 (VA)

Record details

NPI number1609448646
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 10, 2021
Last updated in NPPESNovember 24, 2024
Certification dateNovember 24, 2024
Mailing address5306 Tractor Ln, Fairfax, VA 22030-7239

Other providers in Tinker AFB