Tina Keun Nan Park, DDS, MS - Dentist in Glendale, CA

Tina Keun Nan Park, DDS, MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Glendale, California. Tina Keun Nan Park is licensed to practice in California (license number 63253) and her current practice location is 962 Calle Amable, Glendale, California. She can be reached at her office (for appointments etc.) via phone at (323) 369-4054.

NPI number for Tina Keun Nan Park is 1407200694 and her current mailing address is 962 Calle Amable, Glendale, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407200694.

Contact Information

Tina Keun Nan Park, DDS, MS
962 Calle Amable,
Glendale, CA 91208-3062
(323) 369-4054
Not Available



Healthcare Provider's Profile

Full NameTina Keun Nan Park
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location962 Calle Amable, Glendale, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407200694
  • Provider Enumeration Date: 04/14/2016
  • Last Update Date: 04/14/2016

Medical Identifiers

Medical identifiers for Tina Keun Nan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407200694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 63253 (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. Tina Keun Nan 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
Tina Keun Nan Park, DDS, MS
962 Calle Amable,
Glendale, CA 91208-3062

Ph: (323) 369-4054
Tina Keun Nan Park, DDS, MS
962 Calle Amable,
Glendale, CA 91208-3062

Ph: (323) 369-4054

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Dentist in Glendale, CA

Dr. Alenush D Bernardi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1110 N Brand Blvd Ste 201, Glendale, CA 91202
Phone: 818-244-0215    
Dr. Lyla A. Gazarian-boustani, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 230 N Maryland Ave, Suite 206, Glendale, CA 91206
Phone: 818-547-2804    
Maricel Guarin Fortin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1415 E Colorado St, Ste C, Glendale, CA 91205
Phone: 818-545-7270    
Dr. Lloyd Thomas Turner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1111 N Brand Blvd, Suite B, Glendale, CA 91202
Phone: 818-246-5611    
Alexander Lalabekyan, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 457 W Colorado St, Suite#201, Glendale, CA 91204
Phone: 818-543-0707    Fax: 818-543-0700
Andre Eliasian, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1249 W Glenoaks Blvd, Glendale, CA 91201
Phone: 818-649-1772    Fax: 818-649-1774
Dr. Greg Tashdjian, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 316 E Broadway, Glendale, CA 91205
Phone: 818-548-7700    

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