DR. RYAN PARK DMD
NPI 1316477524
Dentist - Oral and Maxillofacial Surgery in Rockville, MD

Q: What is Ryan Park's NPI number?

The NPI number for Ryan Park is 1316477524. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Q: What is Ryan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Park was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 June 20, 2017

411 HURLEY AVENUE, ROCKVILLE, MD 20850(224) 500-1814 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Oct 9, 2024, Aug 21, 2023 and 2 more (5 updates tracked since 2017).

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About Dr. Ryan Park Dmd NPPES

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

DR. RYAN PARK DMD (NPI 1316477524) is an individual oral and maxillofacial surgery provider in Rockville, Maryland, licensed in Maryland (17982) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1316477524

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. RYAN PARKCredential: DMD

Location Address411 HURLEY AVENUERockville, MD 20850

Mailing Address13975 Connecticut Ave Ste 208Silver Spring, MD 20906-2921

Phone(224) 500-1814

Sole ProprietorNo

Enumeration DateJune 20, 2017

Last NPPES UpdateMarch 4, 20255 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1316477524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MD · 17982

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 019.031142 (IL)

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 019.031142 (IL)

411 HURLEY AVENUE, Rockville, MD 20850

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Other Identifiers 2

Other019.031142IL · Dental License

Other17982MD · Dental License - Ofms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Ryan Park's NPI number?

The NPI number for Ryan Park is 1316477524. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Ryan Park located?

Ryan Park practices at 411 Hurley Avenue, Rockville, MD 20850. The listed phone number is (224) 500-1814.

What is Ryan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Ryan Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ryan 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 Ryan Park was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.