Linda M Park DDS PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LINDA M PARK DDS PLC

Practice address

4300 E Court St
Burton, MI 48509-1808

Phone

(810) 742-5140

Fax

(810) 742-6650

NPI assigned

Aug 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brittany Merrow

Title

Office Manager

Phone

(810) 742-5140

Specialties & licenses 1

Addresses

Other names 1

• Park Dental Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda M Park, D.D.S.

  • Dentist
  • Burton, MI
  • NPI 1043347677
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1184457632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091808",
            "telephone_number": "810-742-5140",
            "fax_number": "810-742-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091808",
            "telephone_number": "810-742-5140",
            "fax_number": "810-742-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA M PARK DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MERROW",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-742-5140"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Dental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Nicole Lee
• Sarah Ann Lee, OD
• Lenas Management LLC
• Ashley Lewis
• Carrie Lynn Lewis, LMSW
• Kurt Olaf Lindhurst, MPT
• Linda Faye Littlejohn
• Livingwell Manor Homes, LLC
• Zanariyah Michelle Long
• Cecilia Garcia Lopez, MD

• Dental Clinic/Center in Burton, MI
• Providers in Burton, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.