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

Park Prosthodontics, PLLC

Organization Prosthodontics · NPI 1376126524

Park Prosthodontics, PLLC is a Prosthodontics in Boston, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021
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

50 Staniford St Ste 303
Boston, MA 02114-2542
Phone: (617) 523-4555
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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 number1376126524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carly Park — Owner · (203) 921-5437
NPI enumeratedMay 4, 2021
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing address776 Main St Unit 540085, Waltham, MA 02454-5405

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