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PARK PROSTHODONTICS, PLLC
NPI 1376126524
Dentist - Prosthodontics in Boston, MA

Active since May 04, 2021
50 STANIFORD ST STE 303, BOSTON, MA 02114(617) 523-4555 Get Directions Write a Review

NPPES record last updated: May 4, 2021. 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 1376126524) is a healthcare organization registered as a prosthodontics in Boston, Massachusetts and active in the NPI registry since May 2021. The organization lists Carly Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1376126524
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NamePARK PROSTHODONTICS, PLLC
Location Address50 STANIFORD ST STE 303Boston, MA 02114-2542
Mailing Address776 Main St Unit 540085Waltham, MA 02454-5405
Phone(617) 523-4555
Organization SubpartNo
Authorized OfficialCarly ParkOwner · (203) 921-5437
Enumeration DateMay 4, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1376126524 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.
50 STANIFORD ST STE 303, Boston, MA 02114
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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 9

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

LISEL BALK DMD
Dentist
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 523-4555
YAEL FRYDMAN DMD PC
Dentist
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 523-4555
DENTAL PARTNERS OF BOSTON
Dentist (Prosthodontics)
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 523-4555
PAUL SIM PLLC
Dentist (Prosthodontics)
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 812-2071
SARAH KIM DMD, MS, LLC
Clinic/Center (Dental)
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 648-9403
SHAMUS HOGAN, LLC
Dentist (General Practice)
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 812-2071
ANGEL RAY PC
Dentist (General Practice)
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 606-6420
SARAH SO YOUNG KIM
Dentist (Prosthodontics)
50 STANIFORD ST STE 303
BOSTON, MA 02114
Suffolk County (617) 648-9403

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 1376126524. It was assigned to this organization in the NPPES registry on May 4, 2021.

Where is Park Prosthodontics, PLLC located?

Park Prosthodontics, PLLC is located at 50 Staniford St Ste 303, Boston, MA 02114. The listed phone number is (617) 523-4555.

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 May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.