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Data Labs Specialties States API

Search › Arizona › Dentist

Simon Park, DMD

NPI 1962051292 · on the registry since 2019 · sole proprietor

Practice

Address
7584 E State Route 69
Prescott Valley, AZ 86314
Phone
(928) 499-3061
Organisation at this address
Spark Dentistry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-24

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 Arizona