Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902538424 Individual Practitioner Male Practitioner

Dr. Michael Park , DDS

Dentist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Park, DDS is a registered healthcare professional specializing in Dentist in Bronx, NY. Practice services are available at 55 E MOSHOLU PKWY N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 E Mosholu Pkwy N

Bronx, NY 104672625

Telephone 7186527370
Associated Practice Facility / Clinic
🏢 Dr. Jay Fensterstock Dds P.c. Facility NPI 1144234469

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
305 Specialists

Practicing in Bronx, NY (6355 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

CMS Verified: 2024-01-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 063686

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Dr. Caroline Kim , DDS

Dentist - Prosthodontics

NPI 1093966517

Doctor of Dental Surgery

Dr. Gene Sheinkman , DDS

Dentist - General Practice

NPI 1174652390

Doctor of Dental Surgery

Dr. Nasrin Sultana , DDS

Dentist - General Practice

NPI 1184649097

Doctor of Dental Surgery

Dr. Ben Mallman , DDS

Dentist - General Practice

NPI 1235298498

Doctor of Dental Surgery

Dr. Neha Dave , DDS

Dentist - General Practice

NPI 1255321493

Doctor of Dental Surgery

Dr. Jay Fensterstock , DDS

Dentist - General Practice

NPI 1295724342

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 17, 2024

Registered at 55 E MOSHOLU PKWY N, BRONX, NY 104672625 (Tel: 7186527370)

📍
Updated Business Mailing Address January 17, 2024

Registered at 55 E MOSHOLU PKWY N, BRONX, NY 104672625

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2024

Dentist (License #063686 in NY)

NPI Profile Active June 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2022

Registered at 1 BROOKDALE PLZ, BROOKLYN, NY 112123139 (Tel: 7182405000)

📍
Updated Business Mailing Address June 24, 2022

Registered at 1 BROOKDALE PLZ, BROOKLYN, NY 112123139

👤
Provider Name / Credentials Updated June 24, 2022

Recorded as MICHAEL PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 24, 2022

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: 1902538424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2022
Last Update: January 17, 2024
Sole Proprietor: Yes

Mailing Address

55 E Mosholu Pkwy N

Bronx, NY 104672625

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.