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Tracy Park D.D.S. A Professional Corporation

Dentist in Ceres, CA · enumerated 2012 · authorized official Tracy Park, Dentist/Owner.

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

National Provider Identifier

1710246798

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Registry record

Entity type Organization (Type 2)
Legal business name Tracy Park D.D.S. A Professional Corporation
Practice address 2760 3rd Street, Suite A, Ceres, CA, 95307
Fax (209) 537-4437
Enumeration date May 10, 2012
Last updated in NPPES Aug 3, 2021

Taxonomy & classification

122300000X Dentist Dental Providers Primary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 41769 (CA) Secondary

Authorized official

Name Tracy Park
Title Dentist/Owner

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 D.D.S. A Professional Corporation?
The NPI for Tracy Park D.D.S. A Professional Corporation is 1710246798, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tracy Park D.D.S. A Professional Corporation?
NPPES lists Tracy Park (Dentist/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 2021-08-03.