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Aidan Park, DDS

Dentist in Kenosha, WI · enumerated 2016 · practices at Familia Dental Kenosha LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639626450

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Registry record

Entity type Individual (Type 1)
Name Aidan Park
Credential DDS
Sex Male
Practice address Kenosha, WI, 53142
Phone (888) 988-4066
Fax (847) 496-4850
Enumeration date Sep 9, 2016
Last updated in NPPES Sep 9, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

122300000X Dentist Dental Providers · License 1001421 (WI) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Aidan Park?
The National Provider Identifier (NPI) for Aidan Park is 1639626450, a Type 1 (individual) record in the CMS NPPES registry.
Where does Aidan Park practice?
The practice location on file with NPPES is in Kenosha, WI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-09.