Individual provider · Type 1 NPI

Lawrence Eugene Park, DDS

General Practice Dentistry · Fort Wayne, IN

NPI number 1992889687 Active

Practice location

10010 Dupont Circle Ct
Fort Wayne, IN 46825-1626

Call (260) 490-4440 Map

Fax (260) 490-4448

Mailing address

1517 Grey Birch Rd
Fort Wayne, IN 46814-9521

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12010099B (IN)

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 1992889687

Lawrence Eugene Park, DDS's National Provider Identifier is 1992889687, issued on Oct 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.