Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104306729 Individual Practitioner Female Practitioner

Dr. Tracey Park , DDS

Dentist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Tracey Park, DDS is a registered healthcare professional specializing in Dentist in Puyallup, WA. Practice services are available at 702 S HILL PARK DR STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

702 S Hill Park Dr Ste 201

Puyallup, WA 983731426

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willamette Dental Facility NPI 1194143065

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
73 Specialists

Practicing in Puyallup, WA (2853 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

CMS Verified: 2023-11-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60879733

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.

Secondary Practice Locations

181 S 333rd St Ste 100

Federal Way, WA 98003

Phone: 8554336825

510 Washington Ave N

Kent, WA 980324453

Phone: 8554336825

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

Dr. Jonathan Kim , DDS

Dentist - General Practice

NPI 1013568294

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 07, 2023

Registered at 702 S HILL PARK DR STE 201, PUYALLUP, WA 983731426 (Tel: 8554336825)

📍
Updated Practice Location April 29, 2019

Registered at 510 WASHINGTON AVE N, KENT, WA 980324453 (Tel: 8554336825)

NPI Profile Active August 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2018

Registered at 181 S 333RD ST STE 100, FEDERAL WAY, WA 98003 (Tel: 8554336825)

📍
Updated Business Mailing Address August 15, 2018

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

👤
Provider Name / Credentials Updated August 15, 2018

Recorded as TRACEY PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2018

Dentist (License #DE60879733 in WA)

🟢
Initial NPI Registration & Enumeration August 14, 2018

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: 1104306729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2018
Last Update: November 07, 2023
Sole Proprietor: No

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 8554336825

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.