Tracey Park, DDS
NPI 1104306729 · Dentist · Puyallup, WA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tracey Park, DDS is a Dentist provider in Puyallup, WA (NPI 1104306729).
Provider details
- NPI number
- 1104306729
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DE60879733 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 181 S 333rd St Ste 100Federal Way, WA 98003Phone: (855) 433-6825
- 510 Washington Ave NKent, WA 98032-4453Phone: (855) 433-6825
Registry dates
- Enumerated
- 2018-08-14
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Frequently asked questions
- What is Tracey Park's NPI number?
- Tracey Park's National Provider Identifier (NPI) is 1104306729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracey Park's specialty?
- Tracey Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Tracey Park located?
- Tracey Park's practice location on file with NPPES is 702 S Hill Park Dr Ste 201, Puyallup, WA 98373-1426.
- What is Tracey Park's phone number?
- The practice phone number listed in the NPPES registry for Tracey Park is (855) 433-6825.
- Does Tracey Park accept Medicare?
- Tracey Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tracey Park's NPI active?
- Yes — Tracey Park's NPI (1104306729) is active in the NPPES registry as of the last update on 2023-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.