Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samuel Park, DMD

Dentist in Tinker Afb, OK · enumerated 2021.

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

National Provider Identifier

1609448646

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Registry record

Entity type Individual (Type 1)

Name Samuel Park

Credential DMD

Sex Male

Practice address 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK, 73145

Phone (954) 290-7165

Enumeration date Jul 10, 2021

Last updated in NPPES Nov 24, 2024

Taxonomy & licenses

122300000X Dentist Dental Providers · License 0401417587 (VA) Primary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD 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.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Samuel Park's NPI record?

Cross-check NPI 1609448646 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1609448646 active?

Yes, as of the latest NPPES snapshot, NPI 1609448646 is active (record last updated 2024-11-24).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-24.