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

Dr. Michael Allen Park, DDS

Individual provider General Practice Dentistry · NPI 1659439776

Dr. Michael Allen Park, DDS is a General Practice Dentistry in Longmont, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
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.

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Practice location Address checks out

541 Main St
Longmont, CO 80501-5536
Phone: (303) 776-3030
Fax: (303) 776-0312
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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 8204 (CO)

Record details

NPI number1659439776
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address541 Main St, Longmont, CO 80501-5536

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