Etern S Park, DDS, MD in Fargo, ND

Etern S Park, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fargo, North Dakota. His current practice location is 1717 University Dr S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-2000.

Etern S Park is licensed to practice in New York (license number 053210) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124289905.

Contact Information

	Etern S Park, DDS, MD
	1717 University Dr S, Fargo, ND 58103-4939
	(701) 234-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Etern S Park
Gender	Male
Speciality
Experience	Years
Location	1717 University Dr S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Etern S Park attended and graduated from in

NPI Data:

NPI Number: 1124289905
Provider Enumeration Date: 06/24/2008
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Etern S Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124289905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	2503 (North Dakota)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	C1-0011804 (Delaware)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	G3-0000458 (Delaware)	Secondary
204E00000X	Oral & Maxillofacial Surgery	21037 (North Dakota)	Secondary
204E00000X	Oral & Maxillofacial Surgery	269333 (New York)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	053210 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Etern S Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Etern S Park, DDS, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Etern S Park, DDS, MD 1717 University Dr S, Fargo, ND 58103-4939 Ph: (701) 234-2000

Reviews and Comments

Dentist in Fargo, ND

Dr. James Fred Lundstrom, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4110 40th St S, Fargo, ND 58104 Phone: 701-293-7718 Fax: 701-293-1296
Arjan Majidian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1231 27th St S Ste B, Fargo, ND 58103 Phone: 424-333-8134
Dr. James J Colbert, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3210 18th St S, Suite B, Fargo, ND 58104 Phone: 701-237-6008 Fax: 701-893-3017
Carl A Trout, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2538 University Dr S, Suite A, Fargo, ND 58103 Phone: 701-232-1148 Fax: 701-232-8907
Dr. Daniel Lawrence Mengedoth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2585 23rd Ave S, Suite C, Fargo, ND 58103 Phone: 701-356-1280 Fax: 701-356-1281
Dr. Jared B Gill, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4401 23rd Ave S, Fargo, ND 83402 Phone: 701-232-1500
Dr. William Savage, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 4th St N, Fargo, ND 58102 Phone: 701-239-7111

Etern S Park, DDS, MD - Medicare Dentist in Fargo, ND