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

Zivin Park

Individual provider Dentist · NPI 1124409560

Zivin Park is a Dentist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

5200 S Westnedge Ave
Portage, MI 49002
Phone: (269) 382-6656
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901021641 (MI)

Record details

NPI number1124409560
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESMarch 26, 2021
Certification dateMarch 4, 2021
Mailing addressPmb 121-10001, Saipan, MP 96950

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