Samuel Park, DMD
NPI 1609448646 · on the registry since 2021
Practice
- Address
- 7050 Air Depot Blvd Bldg 1094
Tinker Afb, OK 73145 - Phone
- (954) 290-7165
- Organisation at this address
- Oklahoma City Vamc
Department Of The Air Force 72d Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 81
Additional practice sites
- 76 Nealy Blvd Bldg 92, Hampton, VA
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma