Minerva C. Park, DDS

General Practice Dentistry · Saint Paul, MN

Individual Active NPI

NPI number 1033624655

Practice location

555 Wabasha St N Ste 250
Saint Paul, MN 55102-1673
Phone
(651) 292-9331

Open in Google Maps

NPI record

NPI
1033624655
Entity type
Individual (Type 1)
Enumeration date
December 5, 2017
Last updated
December 5, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D13907 MN

Mailing address

1160 Cushing Cir Apt 117
Saint Paul, MN 55108-5010
Phone
(443) 857-4207

About Dr. Park

Minerva C. Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 555 Wabasha St N Ste 250, Saint Paul, MN 55102-1673. The NPI number 1033624655 was assigned on December 5, 2017 and the record was last updated on December 5, 2017.

Dr. Park lists a license in the registry: #D13907 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Minerva C. Park, DDS?

The NPI number is 1033624655.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (651) 292-9331.

Where is Dr. Park located?

555 Wabasha St N Ste 250, Saint Paul, MN 55102-1673.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Saint Paul

All General Practice Dentistry providers in Saint Paul, MN →