Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033624655 Individual Practitioner Female Practitioner

Dr. Minerva C Park , DDS

Dentist - General Practice • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Minerva Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Paul, MN. Practice services are available at 555 WABASHA ST N STE 250 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

555 Wabasha St N Ste 250

Saint Paul, MN 551021673

Telephone 6512929331
Associated Practice Facility / Clinic
🏢 Cld - Brooklyn Park Mn, Llc Facility NPI 1770283475

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
122 Specialists

Practicing in Saint Paul, 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 D13907

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

6 Associated Practitioners
NPI 1043996010

Doctor of Dental Surgery

NPI 1528742137

Doctor of Dental Surgery

NPI 1659052686

Doctor of Dental Surgery

Dr. Duane Jeske , DDS

Dentist - General Practice

NPI 1730179003

Doctor of Dental Surgery

Caroline Dsouza

Dentist - General Practice

NPI 1780422972
Dr. Luke Banchy , DDS

Dentist - General Practice

NPI 1851169882

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 December 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2017

Registered at 555 WABASHA ST N STE 250, SAINT PAUL, MN 551021673 (Tel: 6512929331)

📍
Updated Business Mailing Address December 05, 2017

Registered at 1160 CUSHING CIR APT 117, SAINT PAUL, MN 551085010 (Tel: 4438574207)

👤
Provider Name / Credentials Updated December 05, 2017

Recorded as MINERVA PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Dentist (License #D13907 in MN)

🟢
Initial NPI Registration & Enumeration December 05, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033624655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2017
Last Update: December 05, 2017
Sole Proprietor: No

Mailing Address

1160 Cushing Cir Apt 117

Saint Paul, MN 551085010

Phone: 4438574207

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.