Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ian Anthony Park, DDS

Individual provider General Practice Dentistry · NPI 1861494791

Dr. Ian Anthony Park, DDS is a General Practice Dentistry in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

17705 Hutchins Dr Ste 209
Minnetonka, MN 55345-4145
Phone: (925) 474-8114
Fax: (952) 474-5195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9986 (MN)

Record details

NPI number1861494791
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESJuly 8, 2007

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