Individual provider · Type 1 NPI

Jonathan Park, DMD

General Practice Dentistry · Prescott Valley, AZ

NPI number 1023504297 Active

Practice location

7890 E Florentine Rd
Prescott Valley, AZ 86314-1204

Call (928) 770-5721 Map

Mailing address

21021 N 56th St Apt 3086
Phoenix, AZ 85054-5609

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD010097 (AZ)

General Practice Dentistry: 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.

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About NPI 1023504297

Jonathan Park, DMD's National Provider Identifier is 1023504297, issued on Jul 10, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Prescott Valley, AZ. The record was last updated on Jul 10, 2018.