PARK PROSTHODONTICS, PLLC
NPI 1164078655
Dentist - Prosthodontics in Boston, MA

Active since August 12, 2019
800 BOYLSTON ST FL 2, BOSTON, MA 02199(617) 829-9744 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Prosthodontics, Pllc NPPES

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

PARK PROSTHODONTICS, PLLC (NPI 1164078655) is a healthcare organization registered as a prosthodontics in Boston, Massachusetts and active in the NPI registry since August 2019. The organization lists Carly Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1164078655
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NamePARK PROSTHODONTICS, PLLC
Location Address800 BOYLSTON ST FL 2Boston, MA 02199-8081
Mailing Address776 Main St Unit 540085Waltham, MA 02454-5405 · (203) 921-5437
Organization SubpartNo
Authorized OfficialCarly ParkOwner · (203) 921-5437
Enumeration DateAugust 12, 2019
NPI 1164078655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
800 BOYLSTON ST FL 2, Boston, MA 02199

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Dentist (Prosthodontics)
800 BOYLSTON ST FL 2
BOSTON, MA 02199
Dentist (Prosthodontics)
800 BOYLSTON ST FL 2
BOSTON, MA 02199
Dentist (Prosthodontics)
800 BOYLSTON ST FL 2
BOSTON, MA 02199
Dentist (Prosthodontics)
800 BOYLSTON ST FL 2
BOSTON, MA 02199
Clinic/Center (Dental)
800 BOYLSTON ST FL 2
BOSTON, MA 02199
Dentist (Prosthodontics)
800 BOYLSTON ST FL 2
BOSTON, MA 02199
Dentist (Prosthodontics)
800 BOYLSTON ST FL 2
BOSTON, MA 02199
Dentist (Prosthodontics)
800 BOYLSTON ST FL 2
BOSTON, MA 02199

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 Park Prosthodontics, PLLC's NPI number?

The NPI number for Park Prosthodontics, PLLC is 1164078655. It was assigned to this organization in the NPPES registry on August 12, 2019.

Where is Park Prosthodontics, PLLC located?

Park Prosthodontics, PLLC is located at 800 Boylston St Fl 2, Boston, MA 02199. The listed phone number is (617) 829-9744.

What is Park Prosthodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Park Prosthodontics, PLLC was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.