SearchFloridaGeneral Practice Dentistry

Susan Park, DMD

NPI 1093866477 · on the registry since 2007 · sole proprietor

Practice

Address
1661 Estero Blvd
Suite 29
Fort Myers Beach, FL 33931
Phone
(239) 463-5433
Fax
(239) 463-0114
Organisation at this address
Stephen F. Scholle Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida