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Park Dental Group Inc

Dental Clinic/Center in Lake Forest, CA · enumerated 2018 · authorized official Tae Hoon Park, Ceo.

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

National Provider Identifier

1952877854

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Registry record

Entity type Organization (Type 2)
Legal business name Park Dental Group Inc
Other name <Unavail>
Practice address 22611 Lake Forest Dr, Lake Forest, CA, 92630
Phone (909) 543-5075
Fax (907) 334-1030
Enumeration date Oct 17, 2018
Last updated in NPPES Feb 14, 2019

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Tae Hoon Park
Title Ceo
Phone (909) 543-5075

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 is Park Dental Group Inc located?
The practice location on file with NPPES is in Lake Forest, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-02-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-14.