Individual provider · Type 1 NPI

Amy Hyemin Park

Dentist · Travis Afb, CA

NPI number 1164360996 Active

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Call (707) 423-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X113391 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1164360996

Amy Hyemin Park's National Provider Identifier is 1164360996, issued on Mar 23, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Travis Afb, CA. The record was last updated on Jul 30, 2026.