Aidan Park, DDS
Aidan Park is a Dentist provider (Dentist) practicing in Kenosha, WI, registered in the NPPES registry with NPI 1639626450 since 2016. The credential DDS stands for Doctor of Dental Surgery. Practices at Familia Dental Kenosha LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1639626450 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Aidan Park |
| Credential | DDS |
| Sex | Male |
| Practice address | Kenosha, WI, 53142 |
| Phone | 8889884066 |
| Fax | 8474964850 |
| Enumeration date | 2016-09-09 |
| Last updated in NPPES | 2016-09-09 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 1001421 | WI |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Aidan Park, DDS NPI: 1639626450 Taxonomy: 122300000X (Dentist) Address: Kenosha, WI, 53142
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154782209 | Familia Dental Kenosha LLC | Organization | Dental Clinic/Center | Kenosha, WI |
| 1932625522 | Dong Song | Individual | Dentist | Kenosha, WI |
| 1063910164 | Jasjot Chahil | Individual | Dentist | Kenosha, WI |
| 1285287540 | Krupa Patel | Individual | General Practice Dentistry | Kenosha, WI |
Verify this record
Cross-check NPI 1639626450 against the authoritative CMS record: view Aidan Park on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Aidan Park?
Where does Aidan Park practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-09-09.