1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Dentist
  6. NPI Profile

DR. MINERVA C PARK DDS
NPI 1033624655
Dentist - General Practice in Saint Paul, MN

Active since December 05, 2017
555 WABASHA ST N STE 250, SAINT PAUL, MN 55102(651) 292-9331 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Minerva C Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MINERVA C PARK DDS (NPI 1033624655) is an individual general practice provider in Saint Paul, Minnesota, licensed in Minnesota (D13907) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1033624655
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MINERVA C PARKCredential: DDS
Location Address555 WABASHA ST N STE 250Saint Paul, MN 55102-1673
Mailing Address1160 Cushing Cir Apt 117Saint Paul, MN 55108-5010 · (443) 857-4207
Phone(651) 292-9331
Sole ProprietorNo
Enumeration DateDecember 5, 2017
✔ NPI 1033624655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D13907
Definition
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.
555 WABASHA ST N STE 250, Saint Paul, MN 55102
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minerva Park's NPI number?

The NPI number for Minerva Park is 1033624655. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Minerva Park located?

Minerva Park practices at 555 Wabasha St N Ste 250, Saint Paul, MN 55102. The listed phone number is (651) 292-9331.

What is Minerva Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Minerva Park was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.