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

Halle Park Family Dentistry, PC

Organization Dentist · NPI 1003361130

Halle Park Family Dentistry, PC is a Dentist in Collierville, Tennessee. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1108 Halle Park Cir
Collierville, TN 38017-7084
Phone: (901) 457-7753
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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
Dentist Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
Pediatric Dentistry Taxonomy 1223P0221X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1003361130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ettienne Van Zyl — President · (901) 457-7753
NPI enumeratedAugust 18, 2016
Last updated in NPPESAugust 18, 2016
Mailing address1090 Northchase Pkwy Se, Ste 150, Marietta, GA 30067-6405

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