PARK DENTAL OF OKEMOS PC
NPI 1477890689
Clinic/Center - Dental in Okemos, MI

Active since January 08, 2013
2685 JOLLY RD, OKEMOS, MI 48864(517) 993-5924(517) 993-5923 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Dental Of Okemos Pc NPPES

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

PARK DENTAL OF OKEMOS PC (NPI 1477890689) is a healthcare organization registered as a dental in Okemos, Michigan and active in the NPI registry since January 2013. The organization lists Wallace Lee Walker, President, as its authorized official.

NPPES Registry Identity

NPI1477890689
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePARK DENTAL OF OKEMOS PC
Location Address2685 JOLLY RDOkemos, MI 48864-3553
Mailing Address2685 Jolly RdOkemos, MI 48864-3553 · (517) 993-5924 · Fax (517) 993-5923
Fax(517) 993-5923
Organization SubpartNo
Authorized OfficialWallace Lee WalkerPresident · (517) 993-5924
Enumeration DateJanuary 8, 2013
NPI 1477890689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2685 JOLLY RD, Okemos, MI 48864

Other Providers at the Same Location NPPES 5

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

Non-Pharmacy Dispensing Site
2685 JOLLY RD
OKEMOS, MI 48864
Physician Assistant
2685 JOLLY RD
OKEMOS, MI 48864
Dermatology (MOHS-Micrographic Surgery)
2685 JOLLY RD
OKEMOS, MI 48864
Physician Assistant
2685 JOLLY RD
OKEMOS, MI 48864
Dentist (General Practice)
2685 JOLLY RD
OKEMOS, MI 48864

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 Dental Of Okemos PC's NPI number?

The NPI number for Park Dental Of Okemos PC is 1477890689. It was assigned to this organization in the NPPES registry on January 8, 2013.

Where is Park Dental Of Okemos PC located?

Park Dental Of Okemos PC is located at 2685 Jolly Rd, Okemos, MI 48864. The listed phone number is (517) 993-5924.

What is Park Dental Of Okemos PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Park Dental Of Okemos PC was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.