OrganizationActive
Tae Een Park,d.d.s.,inc
NPI 1063889558 · Dental Clinic/Center · Oakdale, CA
Tae Een Park,d.d.s.,inc is a Dental Clinic/Center organization in Oakdale, CA (NPI 1063889558).
Provider details
- NPI number
- 1063889558
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tae Een Park, Ceo(209) 847-2800
- License
- 56889 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
190 S Oak Ave Ste 6
Oakdale, CA 95361-3528
Phone: (209) 847-2800
Fax: (209) 847-2929
Street-level locationGet directions
Mailing address
190 S. Oak Ave Bldg 3 Ste 6
Oakdale, CA 95361
Registry dates
- Enumerated
- 2015-08-31
- Last updated
- 2015-08-31
Frequently asked questions
- What is Tae Een Park,d.d.s.,inc's NPI number?
- Tae Een Park,d.d.s.,inc's National Provider Identifier (NPI) is 1063889558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tae Een Park,d.d.s.,inc?
- Tae Een Park,d.d.s.,inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tae Een Park,d.d.s.,inc located?
- Tae Een Park,d.d.s.,inc's practice location on file with NPPES is 190 S Oak Ave Ste 6, Oakdale, CA 95361-3528.
- What is Tae Een Park,d.d.s.,inc's phone number?
- The practice phone number listed in the NPPES registry for Tae Een Park,d.d.s.,inc is (209) 847-2800.
- Who is the authorized official for Tae Een Park,d.d.s.,inc?
- The authorized official listed on Tae Een Park,d.d.s.,inc's NPPES record is Tae Een Park, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tae Een Park,d.d.s.,inc's NPI active?
- Yes — Tae Een Park,d.d.s.,inc's NPI (1063889558) is active in the NPPES registry as of the last update on 2015-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.