Dr. Clifford A Park , DDS
Dentist - General Practice • Honolulu, HI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clifford Park has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Clifford Park, DDS was a registered Dentist - General Practice practicing in Honolulu, HI. Throughout an active medical career spanning 15 years, Dr. Park provided care at the practice location at 1600 KAPIOLANI BLVD STE 1022 until profile deactivation on 2022-01-28.
Practice Location & Contact Primary Location
1600 Kapiolani Blvd Ste 1022
Honolulu, HI 968143802
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Honolulu, HI
Practicing in Honolulu, HI (740 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 28, 2022
NPI status registered as active in NPPES database
Registered at 1600 KAPIOLANI BLVD STE 1022, HONOLULU, HI 968143802 (Tel: 8089495483)
Registered at 1600 KAPIOLANI BLVD STE 1022, HONOLULU, HI 968143802 (Tel: 8089495483)
Recorded as CLIFFORD PARK, D.D.S.
Dentist (License #1330 in HI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1600 Kapiolani Blvd Ste 1022
Honolulu, HI 968143802
Phone: 8089495483
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