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

Michael Park, DDS

Individual provider General Practice Dentistry · NPI 1568395622

Michael Park, DDS is a General Practice Dentistry in North Chicago, Illinois. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026
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

3001 Green Bay Rd
North Chicago, IL 60064-3048
Phone: (224) 610-4846
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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 14290135-9926 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 14290135-8903 (UT)

Record details

NPI number1568395622
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 6, 2026
Last updated in NPPESJune 6, 2026
Certification dateJune 6, 2026
Mailing address2010 Kentucky Ave, Great Lakes, IL 60088-4212

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