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

Park Prosthodontics, PLLC

Organization Prosthodontics · NPI 1164078655

Park Prosthodontics, PLLC is a Prosthodontics in Boston, Massachusetts. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 Boylston St Fl 2
Boston, MA 02199-8081
Phone: (617) 829-9744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X

Record details

NPI number1164078655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carly Park — Owner · (203) 921-5437
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019
Mailing address776 Main St Unit 540085, Waltham, MA 02454-5405

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