MICHAEL PARK DDS
NPI 1679272660
Dentist - General Practice in Fort Worth, TX

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since February 28, 2023

6426 MEADOWBROOK DR, FORT WORTH, TX 76112(817) 496-2343 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2025, Feb 28, 2023 (2 updates tracked since 2023).

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About Michael Park Dds NPPES

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

MICHAEL PARK DDS (NPI 1679272660) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (40703) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1679272660

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMICHAEL PARKCredential: DDS

Location Address6426 MEADOWBROOK DRFort Worth, TX 76112-5123

Mailing Address8210 Floyd Curl DrSan Antonio, TX 78229-3923

Phone(817) 496-2343

Sole ProprietorNo

Enumeration DateFebruary 28, 2023

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1679272660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 40703

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.

6426 MEADOWBROOK DR, Fort Worth, TX 76112

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