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Tracey Park, DDS

Dentist in Puyallup, WA · enumerated 2018.

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

National Provider Identifier

1104306729

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Registry record

Entity type Individual (Type 1)
Name Tracey Park
Credential DDS
Sex Female
Practice address 702 S Hill Park Dr Ste 201, Puyallup, WA, 98373
Enumeration date Aug 14, 2018
Last updated in NPPES Nov 7, 2023

Taxonomy & licenses

122300000X Dentist Dental Providers · License DE60879733 (WA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

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

Where does Tracey Park practice?
The practice location on file with NPPES is in Puyallup, WA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Tracey Park?
The National Provider Identifier (NPI) for Tracey Park is 1104306729, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-07.