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Park Dental Center Professional LLC

General Practice Dentistry in Aurora, CO · enumerated 2006 · authorized official Tae Park, Owner.

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

National Provider Identifier

1457455966

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Registry record

Entity type Organization (Type 2)
Legal business name Park Dental Center Professional LLC
Practice address 2900 S Peoria St Ste A, Aurora, CO, 80014
Phone (303) 368-3636
Enumeration date Sep 13, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 8962 (CO) Primary

Authorized official

Name Tae Park
Title Owner
Phone (303) 368-3636

Other identifiers

Identifier Type State Issuer
02270781 Medicaid CO -

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 Park Dental Center Professional LLC?
The NPI for Park Dental Center Professional LLC is 1457455966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Park Dental Center Professional LLC?
NPPES lists Tae Park (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.