Individual provider · Type 1 NPI

Zivin Park

Dentist · Portage, MI

NPI number 1124409560 Active

Practice location

5200 S Westnedge Ave
Portage, MI 49002

Mailing address

Pmb 121-10001
Saipan, MP 96950

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901021641 (MI)

Dentist: 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 requiremen…

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About NPI 1124409560

Zivin Park's National Provider Identifier is 1124409560, issued on Jun 11, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portage, MI. The record was last updated on Mar 26, 2021.