Individual provider · Type 1 NPI

Ryan Park, DMD

Oral and Maxillofacial Surgery (Dentist) · Rockville, MD

NPI number 1316477524 Active

Practice location

411 Hurley Avenue
Rockville, MD 20850

Mailing address

13975 Connecticut Ave Ste 208
Silver Spring, MD 20906-2921

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000X019.031142 (IL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X17982 (MD)
Dentist 122300000X019.031142 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1316477524

Ryan Park, DMD's National Provider Identifier is 1316477524, issued on Jun 20, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rockville, MD. The record was last updated on Mar 4, 2025.