Etern S Park
DDS, MD | Oral and Maxillofacial Surgeon | 17+ years Exp
1717 University Dr S, Fargo
North Dakota, 58103-4939
701-234-2000 Maps & DirectionsEtern S Park is a Fargo, North Dakota based Oral and Maxillofacial Surgeon with
17 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 2008 He is also affiliated with hospitals like
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Etern S Park is
053210 for Oral and Maxillofacial Surgery in New York. His current practice location is
1717 University Dr S, Fargo. Patients can reach him at
701-234-2000.
Etern S Park deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Etern S Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Etern S Park |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS, MD |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1717 University Dr S, Fargo,
North Dakota, 58103-4939 |
| Phone: | 701-234-2000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9537302542 |
| Enrollment ID: | I20160908002619 |
| NPI Number: | 1124289905 |
| NPI Enumeration Date: | 24 Jun, 2008 |
| NPI Last Update On: | 11 Feb, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Etern S Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 053210 | Oral and Maxillofacial Surgery | New York | Primary | |
| 2503 | Oral and Maxillofacial Surgery | North Dakota | Secondary | |
| C1-0011804 | Oral and Maxillofacial Surgery | Delaware | Secondary | |
| G3-0000458 | Oral and Maxillofacial Surgery | Delaware | Secondary | |
| 21037 | Oral & Maxillofacial Surgery | North Dakota | Secondary | |
| 269333 | Oral & Maxillofacial Surgery | New York | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (080001) | Newark, DE | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Etern S Park is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Christiana Care Health Services Inc (9739097569) | 1183 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5074,
Sioux Falls, South Dakota |
| Zip: | 57117-5074 |
| Phone Number: | 605-328-6585 |
Patients can reach Etern S Park at
1717 University Dr S, Fargo, North Dakota or can
call to book an appointment on 701-234-2000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.