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

Dr. Michael Park, DDS

Individual provider Dentist · NPI 1902538424

Dr. Michael Park, DDS is a Dentist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
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

55 E Mosholu Pkwy N
Bronx, NY 10467-2625
Phone: (718) 652-7370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 063686 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902538424
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 24, 2022
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address55 E Mosholu Pkwy N, Bronx, NY 10467-2625

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