Tina Park, DDS - Dentist in Newton, NJ

Tina Park, DDS is a Dentist - Pediatric Dentistry based in Newton, New Jersey. Tina Park is licensed to practice in New Jersey (license number 22DI02785600) and her current practice location is 11 Lawrence Rd, Newton, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 300-0002.

NPI number for Tina Park is 1265971048 and her current mailing address is 29 8th St, Englewood Cliffs, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265971048.

Contact Information

Tina Park, DDS
11 Lawrence Rd,
Newton, NJ 07860-2794
(973) 300-0002
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTina Park
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location11 Lawrence Rd, Newton, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265971048
  • Provider Enumeration Date: 02/14/2017
  • Last Update Date: 07/24/2025

Medical Identifiers

Medical identifiers for Tina Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265971048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 059942 (New York)Secondary
1223P0221XDentist - Pediatric Dentistry 22DI02785600 (New Jersey)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. Tina Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tina Park, DDS
29 8th St,
Englewood Cliffs, NJ 07632-2404

Ph: (626) 244-4294
Tina Park, DDS
11 Lawrence Rd,
Newton, NJ 07860-2794

Ph: (973) 300-0002

Reviews and Comments


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