Sangho Park DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

53724 Issued in CA

Legal business name

SANGHO PARK DDS INC.

Practice address

3517 Marconi Ave Ste 104 and 105
Sacramento, CA 95821

Phone

(310) 403-1117

NPI assigned

Jun 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David S Park, DDS

Title

Dentist

Phone

(310) 403-1117

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1124433750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 MARCONI AVE STE 104 AND 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "310-403-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 MARCONI AVE STE 104 AND 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "310-403-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGHO PARK DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-403-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Sangani, PHARMD
• Amandeep Kaur Sangha, LMFT
• Hareena Kaur Sangha, MD
• Randeep Singh Sangha, M.D.
• Lovpreet Sanghera
• Deepika Sankaran, MD
• Jacee Lynn Sannar
• Leonard Gerald Sansing
• Ryan Sansome
• Aaron Roy Sansone

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.