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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Tracy S Park, DDS

General Practice Dentistry in Ceres, CA · enumerated 2006 · practices at Tracy Park D.D.S. A Professional Corporation.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073615084

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Registry record

Entity type Individual (Type 1)
Name Dr. Tracy S Park
Credential DDS
Sex Female
Practice address 2760 3rd Street, Suite A, Ceres, CA, 95307
Phone (209) 537-4427
Fax (209) 537-4437
Enumeration date Sep 1, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 41769 (CA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
B4176901 Other CA DENTI-CAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tracy Park?
The National Provider Identifier (NPI) for Tracy Park is 1073615084, a Type 1 (individual) record in the CMS NPPES registry.
Where does Tracy Park practice?
The practice location on file with NPPES is in Ceres, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.