OrganizationActive
Dr. Park Dental Office 1, LLC
NPI 1508594664 · General Practice Dentistry · Saint Paul, MN
Dr. Park Dental Office 1, LLC is a General Practice Dentistry organization in Saint Paul, MN (NPI 1508594664).
Provider details
- NPI number
- 1508594664
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Park, Ceo/President/Owner(651) 444-9644
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1550 White Bear Ave N
Saint Paul, MN 55106-1602
Phone: (651) 788-7045
Street-level locationGet directions
Mailing address
1550 White Bear Ave N
Saint Paul, MN 55106-1602
Other names (DBA / former)
- Doing business as
- Clear Lakes Dental
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
- Certified
- 2022-08-08
Frequently asked questions
- What is Dr. Park Dental Office 1, LLC's NPI number?
- Dr. Park Dental Office 1, LLC's National Provider Identifier (NPI) is 1508594664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Park Dental Office 1, LLC?
- Dr. Park Dental Office 1, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dr. Park Dental Office 1, LLC located?
- Dr. Park Dental Office 1, LLC's practice location on file with NPPES is 1550 White Bear Ave N, Saint Paul, MN 55106-1602.
- What is Dr. Park Dental Office 1, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Park Dental Office 1, LLC is (651) 788-7045.
- Who is the authorized official for Dr. Park Dental Office 1, LLC?
- The authorized official listed on Dr. Park Dental Office 1, LLC's NPPES record is David Park, Ceo/President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Park Dental Office 1, LLC's NPI active?
- Yes — Dr. Park Dental Office 1, LLC's NPI (1508594664) is active in the NPPES registry as of the last update on 2022-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.