Individual provider · Type 1 NPI

Andrew C. Park, DMD

Endodontics · San Diego, CA

NPI number 1407040116 Active

Practice location

43000 Midway Ave Bldg 595
San Diego, CA 92140-5692

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Endodontics Primary	1223E0200X	59312 (CA)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1407040116

Andrew C. Park, DMD's National Provider Identifier is 1407040116, issued on Sep 5, 2007. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in San Diego, CA. The record was last updated on Apr 2, 2026.