DR. LAWRENCE EUGENE PARK DDS NPI 1992889687

NPI Information

DR. Lawrence Eugene Park, DDS is a general practice dentist in Fort Wayne, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Lawrence Eugene Park, DDS NPI is 1992889687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10010 DUPONT CIRCLE CT
FORT WAYNE, IN
ZIP 46825-626
Phone: (260) 490-4440
Fax: (260) 490-4448

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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