Ryan Park, DMD
Dentist, General Practice in Hyde Park, Massachusetts
1588235196- Practice location
- 1138 River St, Hyde Park, MA 02136-2970
- Phone
- 617-361-5020
- Fax
- —
- Last updated
- June 11, 2022
Ryan Park is a Dentist, General Practice based in Hyde Park, MA. Ryan Park practices in Hyde Park, MA and has the professional credentials of DMD. The NPI Number for Ryan Park is 1588235196 and holds a License No. 1588235196 (MA). The current practice location address for Ryan Park is 1138 River St, Hyde Park, MA 02136-2970 and can be reached out via phone at 617-361-5020.
Provider Profile Details
- NPI Number
- 1588235196
- Provider Name
- Ryan Park
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1138 River St, Hyde Park, MA 02136-2970
- Phone Number
- 617-361-5020
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2021
- Last Update Date
- June 11, 2022
- Certification Date
- June 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1138 River St
Hyde Park, MA 02136-2970 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-2970
- Phone Number
- 617-361-5020
Provider Business Mailing Address Details
- Address
- 37 Stratford St
West Roxbury, MA 02132-2008 - City
- West Roxbury
- State
- MA
- Zip
- 02132-2008
- Phone Number
- 857-210-6333
License Information
- License Number
- 1588235196
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Hyde Park, MA
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- Dr. Jeffrey E Bellin, DMDDentist, General Practice · NPI 1174687545
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- Dr. Shawn S Kim, DDSDentist, General Practice · NPI 1316227499
Frequently Asked Questions
What is the NPI number of Ryan Park, DMD?
The NPI number of Ryan Park, DMD is 1588235196. It was assigned on July 6, 2021 and is currently active in the NPPES registry.
What is the specialty of Ryan Park, DMD?
Ryan Park, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 1588235196.
Where does Ryan Park, DMD practice?
The practice location is 1138 River St, Hyde Park, MA 02136-2970. The office can be reached at 617-361-5020 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588235196 directly on the NPPES registry website.