Healthcare Provider Details

I. General information

NPI: 1487568325
Provider Name (Legal Business Name): CENTRAL PARK DENTISTRY LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 N FEDERAL AVE
MASON CITY IA
50401-3250
US

IV. Provider business mailing address

23 N FEDERAL AVE
MASON CITY IA
50401-3250
US

V. Phone/Fax

Practice location:
  • Phone: 641-423-4225
  • Fax: 641-423-1697
Mailing address:
  • Phone: 641-423-4225
  • Fax: 641-423-1697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CYNTHIA HEWETT
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 641-423-4225