Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982952198 Individual Practitioner Female Practitioner

Dr. Olivia Jin-Young Park , DDS

Dentist • Shafter, CA

Professional Overview & Biography Verified Profile Summary

Dr. Olivia Park, DDS is a registered healthcare professional specializing in Dentist in Shafter, CA. Practice services are available at 1110 E LERDO HWY # 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1110 E Lerdo Hwy # 200

Shafter, CA 932639415

Telephone 6617466989
Associated Practice Facility / Clinic
🏢 Clearview Optometry Corp Facility NPI 1386367936

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Shafter, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Shafter, CA (15331 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 61769

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID California Dental Board
61769 (CA)

Secondary Practice Locations

4401 Ming Ave

Bakersfield, CA 933094817

Phone: 6613977400

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2017

Registered at 1110 E LERDO HWY # 200, SHAFTER, CA 932639415 (Tel: (661) 746-6989)

📍
Updated Business Mailing Address August 14, 2017

Registered at 1110 E LERDO HWY # 200, SHAFTER, CA 932639415 (Tel: (661) 746-6989)

👤
Provider Name / Credentials Updated August 14, 2017

Recorded as OLIVIA PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Dentist (License #61769 in CA)

NPI Profile Active February 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2013

Registered at 4401 MING AVE, BAKERSFIELD, CA 933094817 (Tel: 6613977400)

📍
Updated Business Mailing Address February 28, 2013

Registered at 4401 MING AVE, BAKERSFIELD, CA 933094817 (Tel: 6613977400)

👤
Provider Name / Credentials Updated February 28, 2013

Recorded as OLIVIA PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2013

Dentist (License #61769 in CA)

🟢
Initial NPI Registration & Enumeration August 20, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Olivia Park. Be the first to share your experience!

Sign in to leave a review for Dr. Olivia Park

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1982952198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2012
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1110 E Lerdo Hwy # 200

Shafter, CA 932639415

Phone: 6617466989

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.