OrganizationActive
Sangho Park DDS Inc.
NPI 1124433750 · Dentist · Sacramento, CA
Sangho Park DDS Inc. is a Dentist organization in Sacramento, CA (NPI 1124433750).
Provider details
- NPI number
- 1124433750
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- David Park, Dentist(310) 403-1117
- License
- 53724 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3517 Marconi Ave Ste 104 and 105
Sacramento, CA 95821
Phone: (310) 403-1117
Street-level locationGet directions
Mailing address
3517 Marconi Ave Ste 104 and 105
Sacramento, CA 95821
Other names (DBA / former)
- Doing business as
- Premier Dental Group
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2014-06-23
Frequently asked questions
- What is Sangho Park DDS Inc.'s NPI number?
- Sangho Park DDS Inc.'s National Provider Identifier (NPI) is 1124433750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sangho Park DDS Inc.?
- Sangho Park DDS Inc. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Sangho Park DDS Inc. located?
- Sangho Park DDS Inc.'s practice location on file with NPPES is 3517 Marconi Ave Ste 104 and 105, Sacramento, CA 95821.
- What is Sangho Park DDS Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sangho Park DDS Inc. is (310) 403-1117.
- Who is the authorized official for Sangho Park DDS Inc.?
- The authorized official listed on Sangho Park DDS Inc.'s NPPES record is David Park, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sangho Park DDS Inc.'s NPI active?
- Yes — Sangho Park DDS Inc.'s NPI (1124433750) is active in the NPPES registry as of the last update on 2014-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.