Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN N. PARK, DMD
Active Sole ProprietorSUSAN N. PARK, DMD is a General Dentistry healthcare provider located in FORT MYERS BEACH, Florida. NPI 1093866477 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT MYERS BEACH, FL
Registration Details
- NPI Number
- 1093866477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2007 (19.594619399851 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN12538 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1661 ESTERO BLVDSUITE 29FORT MYERS BEACH, FL, 339312846Browse FL providers · Browse ZIP 33931
- Phone
- 2394635433
- Fax
- 2394630114
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FORT MYERS BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NANCY ELLEN BOUCHARD | DDS | 1548342413 |
| DR. ILLYA Y. NOVIKOV | DOCTOR OF DENTISTRY | 1831313907 |
| DR. ROBERT EDWARD FISCHER | DDS. | 1760697064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.