Individual provider · Type 1 NPI

Ian Anthony Park, DDS

General Practice Dentistry · Minnetonka, MN

NPI number 1861494791 Active

Practice location

17705 Hutchins Dr, Suite 209
Minnetonka, MN 55345-4145

Call (925) 474-8114 Map

Fax (952) 474-5195

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9986 (MN)

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 1861494791

Ian Anthony Park, DDS's National Provider Identifier is 1861494791, issued on Aug 11, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minnetonka, MN. The record was last updated on Jul 8, 2007.