OrganizationActive
Park Professional Dental Corp
NPI 1386135671 · Dentist · Los Angeles, CA
Park Professional Dental Corp is a Dentist organization in Los Angeles, CA (NPI 1386135671).
Provider details
- NPI number
- 1386135671
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Peevy, Rdo(661) 430-3283
- License
- 53724 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
600 W Manchester Ave Ste 2
Los Angeles, CA 90044
Phone: (323) 750-1582
Street-level locationGet directions
Mailing address
600 W Manchester Ave Ste 2
Los Angeles, CA 90044-5700
Other names (DBA / former)
- Doing business as
- Smile Dental of Los Angeles
- Doing business as
- Smile Dental of Los Angeles
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2018-07-03
Frequently asked questions
- What is Park Professional Dental Corp's NPI number?
- Park Professional Dental Corp's National Provider Identifier (NPI) is 1386135671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Professional Dental Corp?
- Park Professional Dental Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park Professional Dental Corp located?
- Park Professional Dental Corp's practice location on file with NPPES is 600 W Manchester Ave Ste 2, Los Angeles, CA 90044.
- What is Park Professional Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Park Professional Dental Corp is (323) 750-1582.
- Who is the authorized official for Park Professional Dental Corp?
- The authorized official listed on Park Professional Dental Corp's NPPES record is Michelle Peevy, Rdo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Professional Dental Corp's NPI active?
- Yes — Park Professional Dental Corp's NPI (1386135671) is active in the NPPES registry as of the last update on 2018-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.