Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA
NPI 1124660014 · Oral and Maxillofacial Surgery (Dentist) · San Ramon, CA
Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA is a Oral and Maxillofacial Surgery (Dentist) organization in San Ramon, CA (NPI 1124660014).
Provider details
- NPI number
- 1124660014
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Chan Park, Partner(925) 217-4884
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- Sycamore Oral & Maxillofacial Surgery
Registry dates
- Enumerated
- 2019-10-11
- Last updated
- 2019-10-11
Frequently asked questions
- What is Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA's NPI number?
- Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA's National Provider Identifier (NPI) is 1124660014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA?
- Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA located?
- Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA's practice location on file with NPPES is 111 Deerwood Rd Ste 130, San Ramon, CA 94583-2194.
- What is Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA's phone number?
- The practice phone number listed in the NPPES registry for Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA is (925) 217-4884.
- Who is the authorized official for Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA?
- The authorized official listed on Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA's NPPES record is Chan Park, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA's NPI active?
- Yes — Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA's NPI (1124660014) is active in the NPPES registry as of the last update on 2019-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.