Individual provider · Type 1 NPI

David A. Park, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Provo, UT

NPI number 1750404786 Active

Practice location

3610 N University Ave, Suite 150
Provo, UT 84604-4437

Call (801) 356-2226 Map

Fax (801) 812-1734

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5129759 (UT)

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 1750404786

David A. Park, MD, DDS's National Provider Identifier is 1750404786, issued on Apr 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Provo, UT. The record was last updated on Jul 28, 2008.