DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. IAN ANTHONY PARK DDS

MEDICARE: DR. IAN ANTHONY PARK DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry9986MN

General Provider Information

NPI Number : 1861494791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IAN ANTHONY PARK DDS
Provider Business Mailing Address
First Line : 17705 HUTCHINS DR
Second Line : SUITE 209
City : MINNETONKA
State : MN
Zip : 55345-4145
Country : US
Telephone Number : 925-474-8114
Fax Number : 952-474-5195
Provider Business Practice Location Address
First Line : 17705 HUTCHINS DR
Second Line : SUITE 209
City : MINNETONKA
State : MN
Zip : 55345-4145
Country : US
Telephone Number : 925-474-8114
Fax Number : 952-474-5195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1265418875 — MARIA MCGANNON
Practice Location Address:
17705 HUTCHINS DR , SUITE 101
MINNETONKA, MN
55345-4145
Practice Phone: 952-401-8300
Practice Fax:
1396717500 — DAVID LEE ESTRIN MD
Practice Location Address:
17705 HUTCHINS DR
MINNETONKA, MN
55345-4145
Practice Phone: 952-401-8300
Practice Fax:
1700858800 — KEENAN GLEN RICHARDSON MD
Practice Location Address:
17705 HUTCHINS DR
MINNETONKA, MN
55345-4145
Practice Phone: 952-401-8300
Practice Fax:
1154393304 — MARY HOBBS MELAND MD
Practice Location Address:
17705 HUTCHINS DR
MINNETONKA, MN
55345-4145
Practice Phone: 952-401-8300
Practice Fax:
1689646986 — DR. PEGGY ANN HICKEY M.D.
Practice Location Address:
17705 HUTCHINS DR
MINNETONKA, MN
55345-4145
Practice Phone: 952-401-8300
Practice Fax:
1134191901 — DR. LORENE FREEHILL MD
Practice Location Address:
17705 HUTCHINS DR , SUITE 101
MINNETONKA, MN
55345-4145
Practice Phone: 952-401-8300
Practice Fax:

Directions to “ DR. IAN ANTHONY PARK DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.