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

Dr. Simon Park, DMD

Individual provider Dentist · NPI 1962051292

Dr. Simon Park, DMD is a Dentist in Prescott Valley, Arizona. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7584 E State Route 69
Prescott Valley, AZ 86314-2278
Phone: (928) 499-3061
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901600308 (MI)

Record details

NPI number1962051292
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 9, 2019
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing addressG3538 Miller Rd Ste A, Flint, MI 48507-1271

Other providers in Prescott Valley