OrganizationActive
Gh Park DDS a Dental Corporation
NPI 1780192005 · Dental Clinic/Center · Fullerton, CA
Gh Park DDS a Dental Corporation is a Dental Clinic/Center organization in Fullerton, CA (NPI 1780192005).
Provider details
- NPI number
- 1780192005
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gene Park, President(310) 780-1296
- License
- 49631 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 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
1031 Rosecrans Ave Ste 104
Fullerton, CA 92833-1946
Phone: (714) 530-1948
Fax: (714) 530-1186
Street-level locationGet directions
Mailing address
1031 Rosecrans Ave Ste 104
Fullerton, CA 92833-1946
Registry dates
- Enumerated
- 2018-01-22
- Last updated
- 2018-01-22
Frequently asked questions
- What is Gh Park DDS a Dental Corporation's NPI number?
- Gh Park DDS a Dental Corporation's National Provider Identifier (NPI) is 1780192005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gh Park DDS a Dental Corporation?
- Gh Park DDS a Dental Corporation is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gh Park DDS a Dental Corporation located?
- Gh Park DDS a Dental Corporation's practice location on file with NPPES is 1031 Rosecrans Ave Ste 104, Fullerton, CA 92833-1946.
- What is Gh Park DDS a Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Gh Park DDS a Dental Corporation is (714) 530-1948.
- Who is the authorized official for Gh Park DDS a Dental Corporation?
- The authorized official listed on Gh Park DDS a Dental Corporation's NPPES record is Gene Park, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gh Park DDS a Dental Corporation's NPI active?
- Yes — Gh Park DDS a Dental Corporation's NPI (1780192005) is active in the NPPES registry as of the last update on 2018-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.