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

Individual provider Dentist · NPI 1891961348

Tom S. Park, DDS is a Dentist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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

105 N Jackson Ave #102
San Jose, CA 95116-1913
Phone: (408) 618-8112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40385 (CA)

Record details

NPI number1891961348
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 5, 2008
Last updated in NPPESJanuary 20, 2015

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