Individual provider · Type 1 NPI
Gene Park, DDS, MS
Periodontics · Fountain Valley, CA
NPI number
1205458767
Active
Practice location
18952 Brookhurst St
Fountain Valley, CA 92708-7306
Mailing address
1641 Via Sevilla St
Corona, CA 92881-0778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DDS108692 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Fountain Valley
About NPI 1205458767
Gene Park, DDS, MS's National Provider Identifier is 1205458767, issued on May 7, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fountain Valley, CA. The record was last updated on Jun 4, 2026.