Mr Soo Tae Park, DDS - Dentist in Lancaster, CA

Mr Soo Tae Park, DDS is a Dentist based in Lancaster, California. Mr Soo Tae Park is licensed to practice in California (license number 33967) and his current practice location is 44841 N 10th St W, Lancaster, California. He can be reached at his office (for appointments etc.) via phone at (661) 948-1655.

NPI number for Mr Soo Tae Park is 1124084728 and his current mailing address is 44841 N 10th St W, Lancaster, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124084728.

Contact Information

Mr Soo Tae Park, DDS
44841 N 10th St W,
Lancaster, CA 93534
(661) 948-1655
(661) 940-9636



Healthcare Provider's Profile

Full NameMr Soo Tae Park
GenderMale
SpecialityDentist
Location44841 N 10th St W, Lancaster, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124084728
  • Provider Enumeration Date: 04/22/2006
  • Last Update Date: 10/09/2013

Medical Identifiers

Medical identifiers for Mr Soo Tae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124084728NPI-NPPES
G9225701MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 33967 (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. Mr Soo Tae 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
Mr Soo Tae Park, DDS
44841 N 10th St W,
Lancaster, CA 93534

Ph: (661) 948-1655
Mr Soo Tae Park, DDS
44841 N 10th St W,
Lancaster, CA 93534

Ph: (661) 948-1655

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› Verified 4 days ago


Dentist in Lancaster, CA

Dr. Luiza Portnoff, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 44439 17th St W, Lancaster, CA 93534
Phone: 661-945-4040    
Mr. Teddy T Usude, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 830 W Avenue L, 129, Lancaster, CA 93534
Phone: 661-280-0012    Fax: 661-951-1961
Dr. Michael David Goodley, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1351 W Avenue J, Lancaster, CA 93534
Phone: 661-942-1474    Fax: 661-723-0027
Dr. Farah Faraj-bakhaya,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44407 Challenger Way, Lancaster, CA 93535
Phone: 661-341-3100    Fax: 661-942-2305
Kamil Nabil Azer Mankarious, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 42447 Waterford Way, Lancaster, CA 93536
Phone: 661-220-0659    
Ms. Honping Wong, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44439 17th St. W, Ste 103, Lancaster, CA 93534
Phone: 661-949-0390    Fax: 661-948-7040
Dr. Mona T Hadaya, D. D. S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 44820 10th St W, Suite 101, Lancaster, CA 93534
Phone: 661-942-1181    

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