Individual provider · Type 1 NPI

Aaron Park, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Mebane, NC

NPI number 1861686875 Active

Practice location

1107 S Fifth St Ste 250
Mebane, NC 27302-9896

Fax (919) 563-2876

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X052778 (NY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X2017-02466 (NC)
General Practice Physician 208D00000X269639 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9268 (NC)

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 1861686875

Aaron Park, DDS, MD's National Provider Identifier is 1861686875, issued on Sep 2, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mebane, NC. The record was last updated on Nov 22, 2017.