Doctor profile · Federal record
Dr. Tae Park, DDS
General Practice Dentistry · Fresno, CA
- NPI 1790870996
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1875 E Alluvial Ave, Suite 102
Fresno, CA 937203856
(559) 325-0700
fax (559) 240-0907
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- March 27, 2009
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #48659
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790870996. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$54
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Septodont INC. | 1 | $54.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
66
Patients
56
Total drug cost
$392
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 47 | 38 | $304 |
| Ibuprofen | Generic | 19 | 18 | $88 |
Frequently asked questions
What is Dr. Tae Park's medical specialty?
Dr. Tae Park practices General Practice Dentistry in Fresno, CA.
Where does Dr. Tae Park practice?
Dr. Tae Park practices at 1875 E Alluvial Ave, Fresno, CA 937203856. Office phone: 5593250700.
What is Dr. Tae Park's NPI?
Dr. Tae Park's National Provider Identifier (NPI) is 1790870996, issued by NPPES.