SUSAN N. PARK DMD
NPI 1093866477
Dentist - General Practice in Fort Myers Beach, FL

Q: What is Susan Park's NPI number?

The NPI number for Susan Park is 1093866477. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Q: What is Susan Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 14, 2007

1661 ESTERO BLVD, SUITE 29, FORT MYERS BEACH, FL 33931(239) 463-5433(239) 463-0114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan N. Park Dmd NPPES

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

SUSAN N. PARK DMD (NPI 1093866477) is an individual general practice provider in Fort Myers Beach, Florida, licensed in Florida (DN12538) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1093866477

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSUSAN N. PARKCredential: DMD

Location Address1661 ESTERO BLVD, SUITE 29Fort Myers Beach, FL 33931-2846

Mailing Address1661 Estero Blvd, Suite 29Fort Myers Beach, FL 33931-2846 · (239) 463-5433 · Fax (239) 463-0114

Phone(239) 463-5433

Fax(239) 463-0114

Sole ProprietorYes

Enumeration DateJanuary 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093866477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN12538

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.

1661 ESTERO BLVD, Fort Myers Beach, FL 33931

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN F SCHOLLE MD

Family Medicine

1661 ESTERO BLVD, STE 1
FORT MYERS BEACH, FL 33931

Lee County (239) 765-0007

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 Susan Park's NPI number?

The NPI number for Susan Park is 1093866477. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Where is Susan Park located?

Susan Park practices at 1661 Estero Blvd Suite 29, Fort Myers Beach, FL 33931. The listed phone number is (239) 463-5433.

What is Susan Park's specialty?

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

What insurance does Susan Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Susan Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.