DR. LAWRENCE EUGENE PARK (NPI# 1992889687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992889687 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE EUGENE PARK |
| Credential | DDS |
| Practice Address |
10010 Dupont Circle Ct Fort Wayne IN 46825-1626 |
| Mailing Address |
1517 Grey Birch Rd Fort Wayne IN 46814-9521 |
| Practice Telephone | 2604904440 |
| Practice Fax Number | 2604904448 |
| Mailing Telephone | 2606253902 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12010099B | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871619122 | Lawrence Soo-young Park | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2007-03-21 |
| 1396727350 | Lawrence Park | Psychiatry & Neurology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-11-16 |
| Street Address |
10010 DUPONT CIRCLE CT |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548579592 | Tyrone Smith | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2010-09-24 |
| 1073824231 | Ryan P Gebfert | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2010-06-23 |
| 1861695967 | Jessica H Jarboe | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2007-06-06 |
| 1598886582 | Mark R Stetzel | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2007-04-03 |
| 1114048121 | Valerie E Lake | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2007-04-03 |
| 1356463327 | R M & M R Stetzel Dds Inc | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2007-04-03 |
| 1841378809 | Robert Gebfert | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2006-11-01 |
| 1518045574 | Gebfert-park Family Dentistry | Dentist | 10010 Dupont Circle Ct, Fort Wayne, IN 46825-1626 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1295357481 | Sycamore Hills Dentistry | Dentist | 10082 Illinois Rd, Fort Wayne, IN 46804-5772 | 2020-05-11 |
| 1699324103 | Phillip M. Mckean Professional Corporation | Dentist | 6605 E State Blvd Ste 7, Fort Wayne, IN 46815-7036 | 2019-09-06 |
| 1598322083 | Charles Chase Ellinwood | Dentist | 5725 Maplecrest Rd Ste 1, Fort Wayne, IN 46835-4937 | 2019-05-21 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1821582172 | Jacob Yager | Dentist | 9830 Auburn Rd Ste 101, Fort Wayne, IN 46825-2464 | 2018-06-20 |
| 1740772656 | Colleen Rose Allen | Dentist | 10213 Dupont Circle Dr W, Fort Wayne, IN 46825-1656 | 2018-06-06 |
| 1407360910 | Grace Xinxing Clark | Dentist | 4716 Illinois Rd Ste 101, Fort Wayne, IN 46804-5123 | 2017-11-20 |
| 1578959375 | Ronald L Rumbaugh Dds PC | Dentist | 10506 Coldwater Rd, Fort Wayne, IN 46845-1235 | 2015-04-09 |
| 1619388063 | Familia Dental Spfw Pllc | Dentist | 100 E Pettit Ave, 1a, Fort Wayne, IN 46806-3003 | 2014-05-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.