Ethan Park Dmd Inc
Ethan Park Dmd Inc is a healthcare organization registered as General Practice Dentistry in Temple City, CA, holding Type 2 (organization) NPI 1275117491 since 2021. The authorized official on file is Ethan Park, Owner Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1275117491 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ethan Park Dmd Inc |
| Practice address | 5728 ROSEMEAD BLVD SUITE 220, Temple City, CA, 91780 |
| Phone | 6265004340 |
| Fax | 6265445335 |
| Enumeration date | 2021-05-12 |
| Last updated in NPPES | 2023-07-13 |
Authorized official
| Name | Ethan Park |
|---|---|
| Title | Owner Dentist |
| Phone | 2132204856 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Secondary | — | — |
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100873 | Other | CA | DENTIST |
Copy-ready billing details
Provider: Ethan Park Dmd Inc NPI: 1275117491 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 5728 ROSEMEAD BLVD SUITE 220, Temple City, CA, 91780
Verify this record
Cross-check NPI 1275117491 against the authoritative CMS record: view Ethan Park Dmd Inc on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Where is Ethan Park Dmd Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-13.