SUSAN PARK DDS
NPI 1821147190
Dentist - Orthodontics and Dentofacial Orthopedics in North Syracuse, NY

Active since January 09, 2007
709 N MAIN ST, NORTH SYRACUSE, NY 13212(315) 452-5915 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Park Dds NPPES

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

SUSAN PARK DDS (NPI 1821147190) is an individual orthodontics and dentofacial orthopedics provider in North Syracuse, New York, licensed in New York (048609-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1821147190
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameSUSAN PARKCredential: DDS
Location Address709 N MAIN STNorth Syracuse, NY 13212-1669
Mailing Address3850 N Causeway Blvd, Suite 800Metairie, LA 70002-1752 · (800) 622-7645
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 24, 2010
NPI 1821147190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 048609-1
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
709 N MAIN ST, North Syracuse, NY 13212

Other Providers at the Same Location NPPES 10

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

Massage Therapist
709 N MAIN ST
NORTH SYRACUSE, NY 13212
Massage Therapist
709 N MAIN ST
NORTH SYRACUSE, NY 13212
Massage Therapist
709 N MAIN ST
N SYRACUSE, NY 13212
Massage Therapist
709 N MAIN ST
NORTH SYRACUSE, NY 13212
Massage Therapist
709 N MAIN ST
NORTH SYRACUSE, NY 13212
Massage Therapist
709 N MAIN ST
NORTH SYRACUSE, NY 13212
Massage Therapist
709 N MAIN ST
NORTH SYRACUSE, NY 13212
Massage Therapist
709 N MAIN ST
NORTH SYRACUSE, NY 13212

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 Susan Park's NPI number?

The NPI number for Susan Park is 1821147190. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Susan Park located?

Susan Park practices at 709 N Main St, North Syracuse, NY 13212. The listed phone number is (315) 452-5915.

What is Susan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Susan Park was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.