1. Home
  2. Directory
  3. Massachusetts
  4. Hyde Park
  5. Dentist
  6. NPI Profile

RYAN PARK DMD
NPI 1588235196
Dentist - General Practice in Hyde Park, MA

Active since July 06, 2021
1138 RIVER ST, HYDE PARK, MA 02136(617) 361-5020 Get Directions Write a Review

NPPES record last updated: June 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2022, May 5, 2022, Jul 6, 2021 (3 updates tracked since 2021).

About Ryan Park Dmd NPPES

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

RYAN PARK DMD (NPI 1588235196) is an individual general practice provider in Hyde Park, Massachusetts, licensed in Massachusetts (1588235196) and active in the NPI registry since July 2021. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588235196
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRYAN PARKCredential: DMD
Location Address1138 RIVER STHyde Park, MA 02136-2970
Mailing Address37 Stratford StWest Roxbury, MA 02132-2008 · (857) 210-6333
Phone(617) 361-5020
Sole ProprietorYes
Enumeration DateJuly 6, 2021
Last NPPES UpdateJune 11, 20223 updates tracked since enumeration
NPPES CertifiedJune 11, 2022
✔ NPI 1588235196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 1588235196
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.

1138 RIVER ST, Hyde Park, MA 02136
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Asylum AveHartford, CT 06105-1770 · Phone (860) 714-4995
Location 21840 Centre StWest Roxbury, MA 02132-1901 · Phone (617) 327-5700

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

ACE DENTAL BOSTON
Dentist (General Practice)
1138 RIVER ST
HYDE PARK, MA 02136
Suffolk County (617) 361-5020
DR. SHAWN SEONGHOON KIM D.D.S.
Dentist (General Practice)
1138 RIVER ST
HYDE PARK, MA 02136
Suffolk County (213) 700-9838
DAVID DEAN D.M.D.
Dentist
1138 RIVER ST
HYDE PARK, MA 02136
Suffolk County (617) 361-5020

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 1588235196. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Ryan Park located?

Ryan Park practices at 1138 River St, Hyde Park, MA 02136. The listed phone number is (617) 361-5020.

What is Ryan Park's specialty?

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

What insurance does Ryan Park accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma 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 June 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.