Ryan Park, D.D.S.

Dentist · Burleson, TX

Individual Active NPI

NPI number 1033663596

Practice location

811 NE Alsbury Blvd Ste 600
Burleson, TX 76028-2666
Phone
(817) 529-4300

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NPI record

NPI
1033663596
Entity type
Individual (Type 1)
Enumeration date
August 12, 2016
Last updated
May 1, 2023
Certified
May 1, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 32204 TX

Mailing address

11337 Summit Gale Way
Haslet, TX 76052-1392
Phone
(718) 734-8899

About Dr. Park

Ryan Park, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 811 NE Alsbury Blvd Ste 600, Burleson, TX 76028-2666. The NPI number 1033663596 was assigned on August 12, 2016 and the record was last updated on May 1, 2023.

Dr. Park lists a license in the registry: #32204 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Park, D.D.S.?

The NPI number is 1033663596.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (817) 529-4300.

Where is Dr. Park located?

811 NE Alsbury Blvd Ste 600, Burleson, TX 76028-2666.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 122300000X – Dentist.

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.

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