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

Individual provider Dentist · NPI 1639626450

Aidan Park, DDS is a Dentist in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

6430 Green Bay Rd
Kenosha, WI 53142-2948
Phone: (888) 988-4066
Fax: (847) 496-4850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1001421 (WI)

Record details

NPI number1639626450
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 9, 2016
Last updated in NPPESSeptember 9, 2016
Mailing address2050 E Algonquin Rd, Ste 610, Schaumburg, IL 60173-4144

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