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

Timothy C Park, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942832308

Timothy C Park, DDS is a Student in an Organized Health Care Education/Training Program in Anaheim, California. Works from 4 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
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.

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Practice location Address checks out

1842 W Lincoln Ave Ste D
Anaheim, CA 92801-5489
Phone: (714) 956-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 906 N Vermont Ave, Los Angeles, CA 90029-3519 — (323) 522-3382
  • 2135 Cypress Ave, Los Angeles, CA 90065-1212 — (323) 223-0731
  • 12124 Garfield Ave, South Gate, CA 90280-8033 — (323) 775-9070

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS105080 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942832308
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

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