Painesville Oh Dentist LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAINESVILLE OH DENTIST LLC

Practice address

2183 Mentor Ave
Painesville, OH 44077-1323

Phone

(651) 444-9644

NPI assigned

Aug 3, 2026

Organization subpart

No

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

Authorized official

Name

Dr. David Park, DMDNPI 1831614387

Title

Ceo/President

Phone

(443) 759-0910

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ji Hyun Park, DMD

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1831614387
  Authorized official Same address or phone

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1558284844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771323",
            "telephone_number": "651-444-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINESVILLE OH DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "443-759-0910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Ann Osborne, RN
• Antoinette Paglio
• Painesville City Local SD
• Painesville Dental Group
• Painesville Family Chiropractic Inc.
• Painesville SNF Opco LLC (Heritage Healthcare of Painesville)
• Painesville Township BD of Trustees
• James Pansky, PHARMD.
• Ashley Rose Parnaby, COTA
• Michelle Anne Parrish-Lent, LPN-M-IV CERTIFIED

• Dental Clinic/Center in Painesville, OH
• Providers in Painesville, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.