Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Park Dental Office 1, LLC

Organization General Practice Dentistry · NPI 1508594664

Dr Park Dental Office 1, LLC is a General Practice Dentistry in Saint Paul, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1550 White Bear Ave N
Saint Paul, MN 55106-1602
Phone: (651) 788-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508594664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Park — Ceo/President/Owner · (651) 444-9644
Other names Clear Lakes Dental
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address1550 White Bear Ave N, Saint Paul, MN 55106-1602

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