Samuel Park, DMD
Dentist, General Practice in North Smithfield, Rhode Island
1609448646- Practice location
- 18 Dowling Village Blvd, North Smithfield, RI 02896-8267
- Phone
- 401-762-1919
- Fax
- —
- Last updated
- November 5, 2026
Samuel Park is a Dentist, General Practice based in North Smithfield, RI. Samuel Park practices in North Smithfield, RI and has the professional credentials of DMD. The NPI Number for Samuel Park is 1609448646 and holds a License No. DN10001709 (MA). The current practice location address for Samuel Park is 18 Dowling Village Blvd, North Smithfield, RI 02896-8267 and can be reached out via phone at 401-762-1919.
Provider Profile Details
- NPI Number
- 1609448646
- Provider Name
- Samuel Park
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 18 Dowling Village Blvd, North Smithfield, RI 02896-8267
- Phone Number
- 401-762-1919
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2021
- Last Update Date
- November 5, 2026
- Certification Date
- November 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 Dowling Village Blvd
North Smithfield, RI 02896-8267 - City
- North Smithfield
- State
- Rhode Island
- Zip
- 02896-8267
- Phone Number
- 401-762-1919
Provider Business Mailing Address Details
- Address
- 5306 Tractor Ln
Fairfax, VA 22030-7239 - City
- Fairfax
- State
- VA
- Zip
- 22030-7239
- Phone Number
- 954-290-7165
License Information
- License Number (1)
- DN10001709
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- DEN03901
- License State (2)
- RI
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (3)
- 0401417587
- License State (3)
- VA
- Taxonomy (3)
- Dentist · 122300000X
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 North Smithfield, RI
View all Dentist, General Practice providers in North Smithfield →- Alan L. Laroche DMD INCDentist, General Practice · NPI 1083861587
- Dr. Alan L Laroche, DMDDentist, General Practice · NPI 1730192113
- Dr. Gregory P Stepka, DMDDentist, General Practice · NPI 1881799070
- Dr. Janice CenDentist, General Practice · NPI 1619546892
- Dr. Kyle Malesra, DMDDentist, General Practice · NPI 1417241779
- Dr. Paul Morisseau, DMDDentist, General Practice · NPI 1770645517
Frequently Asked Questions
What is the NPI number of Samuel Park, DMD?
The NPI number of Samuel Park, DMD is 1609448646. It was assigned on July 10, 2021 and is currently active in the NPPES registry.
What is the specialty of Samuel Park, DMD?
Samuel Park, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN10001709.
Where does Samuel Park, DMD practice?
The practice location is 18 Dowling Village Blvd, North Smithfield, RI 02896-8267. The office can be reached at 401-762-1919 (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 1609448646 directly on the NPPES registry website.