IndividualActive
Connor Park, DDS
NPI 1174407902 · Dentist · Lakewood, WA
Connor Park, DDS is a Dentist provider in Lakewood, WA (NPI 1174407902).
Provider details
- NPI number
- 1174407902
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14226880-9926 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5440 Steilacoom Blvd Sw Apt 304
Lakewood, WA 98499-3457
Phone: (541) 953-7862
Street-level locationGet directions
Mailing address
5440 Steilacoom Blvd Sw Apt 304
Lakewood, WA 98499-3457
Registry dates
- Enumerated
- 2025-08-04
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Connor Park's NPI number?
- Connor Park's National Provider Identifier (NPI) is 1174407902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Connor Park's specialty?
- Connor Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Connor Park located?
- Connor Park's practice location on file with NPPES is 5440 Steilacoom Blvd Sw Apt 304, Lakewood, WA 98499-3457.
- What is Connor Park's phone number?
- The practice phone number listed in the NPPES registry for Connor Park is (541) 953-7862.
- Is Connor Park's NPI active?
- Yes — Connor Park's NPI (1174407902) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.