Doctor profile · Federal record
Dr. Samuel Park, DMD
Dentist · Tinker Afb, OK
- NPI 1609448646
- 5 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
7050 Air Depot Blvd Bldg 1094
Tinker Afb, OK 731458716
(954) 290-7165 - Additional location
-
76 Nealy Blvd Bldg 92
Hampton, VA 236652022
(757) 225-7630 - Mailing address
-
5306 Tractor Ln
Fairfax, VA 220307239
Credentials & registration
- NPI registered
- July 2021 — 5 yrs on file
- Profile last updated
- November 24, 2024
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Virginia #0401417587
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609448646. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 1 | $24.81 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Park's medical specialty?
Dr. Samuel Park practices Dentist in Tinker Afb, OK.
Where does Dr. Samuel Park practice?
Dr. Samuel Park practices at 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 731458716. Office phone: 9542907165.
What is Dr. Samuel Park's NPI?
Dr. Samuel Park's National Provider Identifier (NPI) is 1609448646, issued by NPPES.