Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073615084 Individual Practitioner Female Practitioner

Dr. Tracy S Park , DDS

Dentist - General Practice • Ceres, CA

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ceres, CA. Practice services are available at 2760 3RD STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2760 3rd Street
Suite A

Ceres, CA 95307

Telephone 2095374427
Fax 2095374437
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ceres, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Ceres, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 41769

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Denti-Cal
B4176901 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1851015580

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2760 3RD STREET, SUITE A, CERES, CA 95307 (Tel: 2095374427)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2760 3RD STREET, SUITE A, CERES, CA 95307 (Tel: 2095374427)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TRACY PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #41769 in CA)

🟢
Initial NPI Registration & Enumeration September 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073615084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2760 3rd Street, Suite A

Ceres, CA 95307

Phone: 2095374427

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.