Doctor profile · Federal record
Dr. Kideog Park
General Practice Dentistry · Garden Grove, CA
- NPI 1861010845
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9618 Garden Grove Blvd Ste 208
Garden Grove, CA 928441566
(714) 537-9380
fax (714) 537-2593
Credentials & registration
- NPI registered
- July 2020 — 6 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #102006
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861010845. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$39
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 2 | $39.02 |
By nature of payment
Frequently asked questions
What is Dr. Kideog Park's medical specialty?
Dr. Kideog Park practices General Practice Dentistry in Garden Grove, CA.
Where does Dr. Kideog Park practice?
Dr. Kideog Park practices at 9618 Garden Grove Blvd Ste 208, Garden Grove, CA 928441566. Office phone: 7145379380.
What is Dr. Kideog Park's NPI?
Dr. Kideog Park's National Provider Identifier (NPI) is 1861010845, issued by NPPES.