Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861494791 Individual Practitioner Male Practitioner

Dr. Ian Anthony Park , DDS

Dentist - General Practice • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Dr. Ian Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Minnetonka, MN. Practice services are available at 17705 HUTCHINS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17705 Hutchins Dr
Suite 209

Minnetonka, MN 553454145

Telephone 9254748114
Fax 9524745195
Associated Practice Facility / Clinic
🏢 South Lake Clinic, P.a. Facility NPI 1427027184

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
31 Specialists

Practicing in Minnetonka, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 9986

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
NPI 1134191901

Doctor of Medicine (M.D.)

NPI 1154393304

Doctor of Medicine (M.D.)

NPI 1154594109

Doctor of Medicine (M.D.)

NPI 1235101130

Doctor of Medicine (M.D.)

Maria Mcgannon

Nurse Practitioner - Pediatrics

NPI 1265418875
Dr. Mark Jensen , DDS

Dentist - Endodontics

NPI 1275644684

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 17705 HUTCHINS DR, SUITE 209, MINNETONKA, MN 553454145 (Tel: 9254748114)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17705 HUTCHINS DR, SUITE 209, MINNETONKA, MN 553454145 (Tel: 9254748114)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as IAN PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9986 in MN)

🟢
Initial NPI Registration & Enumeration August 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ian Park. Be the first to share your experience!

Sign in to leave a review for Dr. Ian Park

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1861494791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

17705 Hutchins Dr, Suite 209

Minnetonka, MN 553454145

Phone: 9254748114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.