Dr Taeeen Park, DDS - Dentist in Oakdale, CA

Dr Taeeen Park, DDS is a Dentist based in Oakdale, California. Dr Taeeen Park is licensed to practice in California (license number 56889) and his current practice location is 190 South Oak Ave. Bldg.3 Ste 6, Oakdale, California. He can be reached at his office (for appointments etc.) via phone at (209) 847-2800.

NPI number for Dr Taeeen Park is 1447275375 and his current mailing address is 190 S. Oak Ave Bldg 3 Ste 6, Oakdale, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447275375.

Contact Information

Dr Taeeen Park, DDS
190 South Oak Ave. Bldg.3 Ste 6,
Oakdale, CA 95361-3528
(209) 847-2800
(209) 847-2929



Healthcare Provider's Profile

Full NameDr Taeeen Park
GenderMale
SpecialityDentist
Location190 South Oak Ave. Bldg.3 Ste 6, Oakdale, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447275375
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 07/16/2015

Medical Identifiers

Medical identifiers for Dr Taeeen Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447275375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 56889 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Taeeen Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Taeeen Park, DDS
190 S. Oak Ave Bldg 3 Ste 6,
Oakdale, CA 95361-3528

Ph: (209) 847-2800
Dr Taeeen Park, DDS
190 South Oak Ave. Bldg.3 Ste 6,
Oakdale, CA 95361-3528

Ph: (209) 847-2800

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Dentist in Oakdale, CA

Dr. Lewis Michael Deldebbio,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 190 S Oak Ave, Building 1 Suite 1, Oakdale, CA 95361
Phone: 209-847-1320    Fax: 209-847-4256
Dr. Jodi Lynell Sceville, D.D.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1390 W H St, Suite D-1, Oakdale, CA 95361
Phone: 209-847-8091    
Dr. Jeffery William Sceville, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1390 W H St, Suite D-1, Oakdale, CA 95361
Phone: 209-847-8091    Fax: 209-847-3314
Dr. Joseph Anthony Corso, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1419 W F St, Oakdale, CA 95361
Phone: 209-847-0309    Fax: 209-847-2391
Dr. Scott Parker Blackhart, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1419 W F St, Oakdale, CA 95361
Phone: 209-847-0309    Fax: 209-847-2391
Dr. Aldo Albertoni, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1419 W F St, Oakdale, CA 95361
Phone: 209-847-0309    Fax: 209-847-2391

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