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

Madeleine Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104526193

Madeleine Park is a Student in an Organized Health Care Education/Training Program in Sheridan, Colorado. Licensed in Colorado. Registered with an NPI since 2023.

Licensed in
CO
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3960 River Point Pkwy Unit A
Sheridan, CO 80110-3315
Phone: (303) 781-2340
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00206073 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104526193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address1906 Crescent Common Dr, Katy, TX 77494-7512

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