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Dr. Ryan Park, DMD
Oral and Maxillofacial Surgery (Dentist) in Rockville, Maryland
NPI 1316477524

Ryan Park is a Oral and Maxillofacial Surgery (Dentist) based in Rockville, MD and is specialized in Oral and Maxillofacial Surgery. Ryan Park practices in Rockville, MD and has the professional credentials of DMD. The NPI Number for Ryan Park is 1316477524 and holds a License No. 019.031142 (Maryland).

The current practice location address for Ryan Park is 411 Hurley Avenue, Rockville, MD and can be reached out via phone at 224-500-1814.

Location: 411 Hurley Avenue, Rockville, MD, 20850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316477524
Provider Name
Ryan Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
411 Hurley Avenue, Rockville, MD, 20850
Phone Number
224-500-1814
Fax Number
Provider Enumeration Date
06/20/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17982 01 MD DENTAL LICENSE - OFMS
019.031142 01 IL DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
411 Hurley Avenue
City
Rockville
State
Maryland
Zip
20850
Phone Number
224-500-1814
Fax Number
person
Provider Business Mailing Address Details
Address
411 Hurley Avenue
City
Rockville
State
Maryland
Zip
20850
Phone Number
224-500-1814
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
17982 (Maryland)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019.031142 (Illinois)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
019.031142 (Illinois)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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