DAVID PARK, M.D., D.D.S.

Oral and Maxillofacial Surgery (Dentist) · PROVO, UT

Individual Active Opted out of Medicare NPI 1750404786

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X5129759UT

Medicare eligibility

Opted out of Medicare (Oral Surgery), effective 2026-05-12 through 2028-05-12.

Other Oral and Maxillofacial Surgery (Dentist) providers in Utah

See all Oral and Maxillofacial Surgery (Dentist) providers in Utah

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.