Dr Clinton H Park, DDS in Encinitas, CA - Medicare Dentist Provider

Dr Clinton H Park, DDS is a medicare enrolled "Dentist - General Practice" provider in Encinitas, California. His current practice location is 1340 Encinitas Blvd, Ste. 100, Encinitas, California. You can reach out to his office (for appointments etc.) via phone at (760) 942-3900.

Dr Clinton H Park is licensed to practice in California (license number 48531) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750489266.

Contact Information

	Dr Clinton H Park, DDS
	1340 Encinitas Blvd, Ste. 100, Encinitas, CA 92024-2844
	(760) 942-3900
	(760) 942-3909

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Clinton H Park
Gender	Male
Speciality	Dentist - General Practice
Location	1340 Encinitas Blvd, Encinitas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750489266
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5294040663
Enrollment ID: I20150813010902

Medical Identifiers

Medical identifiers for Dr Clinton H Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750489266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	48531 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clinton H Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Clinton H Park, DDS 2860 Michelle, 2nd Floor, Irvine, CA 92606-1009 Ph: (714) 508-3600	Dr Clinton H Park, DDS 1340 Encinitas Blvd, Ste. 100, Encinitas, CA 92024-2844 Ph: (760) 942-3900

Reviews and Comments

Dentist in Encinitas, CA

Christopher Demeyer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1340 Encinitas Blvd Unit 100, Encinitas, CA 92024 Phone: 760-942-3900
Karson A. Kupiec, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 617 Saxony Pl Ste 103, Encinitas, CA 92024 Phone: 760-634-4800 Fax: 760-634-4870
Dr. Randy William Garland, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 531 Encinitas Blvd Ste 101, Encinitas, CA 92024 Phone: 760-944-0048 Fax: 760-944-1432
Dr. Dennis R Marshall, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 119 N El Camino Real, #a, Encinitas, CA 92024 Phone: 760-753-5544 Fax: 760-753-5877
Dr. Craig A Chan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 761 Garden View Ct, Suite 103, Encinitas, CA 92024 Phone: 760-436-7660
Dr. Tom D Keller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1443 Encinitas Blvd, Encinitas, CA 92024 Phone: 760-635-3478 Fax: 760-635-9384
Ann Mineo Kania, DDS, DMSC Dentist Medicare: Not Enrolled in Medicare Practice Location: 345 Saxony Rd, Suite 203, Encinitas, CA 92024 Phone: 760-642-0711 Fax: 760-642-0700

Dr Clinton H Park, DDS - Medicare Dentist in Encinitas, CA