OrganizationActive
D Park DDS Inc
NPI 1174869796 · Dentist · Modesto, CA
D Park DDS Inc is a Dentist organization in Modesto, CA (NPI 1174869796).
Provider details
- NPI number
- 1174869796
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- David Park, Owner(310) 403-1117
- License
- 53724 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1130 Coffee Rd Ste 1a
Modesto, CA 95355-4228
Phone: (209) 523-5991
Street-level locationGet directions
Mailing address
1130 Coffee Rd Ste 1a
Modesto, CA 95355-4228
Other names (DBA / former)
- Doing business as
- Coffee Dental Group
Registry dates
- Enumerated
- 2012-12-31
- Last updated
- 2012-12-31
Frequently asked questions
- What is D Park DDS Inc's NPI number?
- D Park DDS Inc's National Provider Identifier (NPI) is 1174869796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is D Park DDS Inc?
- D Park DDS Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is D Park DDS Inc located?
- D Park DDS Inc's practice location on file with NPPES is 1130 Coffee Rd Ste 1a, Modesto, CA 95355-4228.
- What is D Park DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for D Park DDS Inc is (209) 523-5991.
- Who is the authorized official for D Park DDS Inc?
- The authorized official listed on D Park DDS Inc's NPPES record is David Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is D Park DDS Inc's NPI active?
- Yes — D Park DDS Inc's NPI (1174869796) is active in the NPPES registry as of the last update on 2012-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.