Individual provider · Type 1 NPI

Brian Park, DDS

General Practice Dentistry · Southampton, NY

NPI number 1689842379 Active

Practice location

325 Meeting House Ln, Bldg #2 Suite 401
Southampton, NY 11968-5087

Mailing address

31 Martin Pl
Syosset, NY 11791-6712

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X051949 (NY)

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 1689842379

Brian Park, DDS's National Provider Identifier is 1689842379, issued on Feb 14, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Southampton, NY. The record was last updated on Jun 3, 2009.