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

Dr. Jonathan Park, DMD

Individual provider General Practice Dentistry · NPI 1023504297

Dr. Jonathan Park, DMD is a General Practice Dentistry in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7890 E Florentine Rd
Prescott Valley, AZ 86314-1204
Phone: (928) 770-5721
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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 · Licence D010097 (AZ)

Record details

NPI number1023504297
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESJuly 10, 2018
Mailing address21021 N 56th St Apt 3086, Phoenix, AZ 85054-5609

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