Search › Utah › Oral and Maxillofacial Surgery (Dentist)
David Park, M.D., D.D.S
NPI 1750404786 · on the registry since 2007
Practice
- Address
- 3610 N University Ave
Suite 150
Provo, UT 84604 - Phone
- (801) 356-2226
- Fax
- (801) 812-1734
- Organisation at this address
- Utah Surgical Arts
Jeffrey L Trapnell Dds PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-28
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 Utah