Individual provider · Type 1 NPI

Connor Nicholas Park, DDS

Dentist · Lakewood, WA

NPI number 1174407902 Active

Practice location

5440 Steilacoom Blvd SW Apt 304
Lakewood, WA 98499-3457

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14226880-9926 (UT)

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 1174407902

Connor Nicholas Park, DDS's National Provider Identifier is 1174407902, issued on Aug 4, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lakewood, WA. The record was last updated on Aug 4, 2025.