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JAMES PARK DMD
NPI 1083230064
Dentist in Gainesville, GA

Active since June 25, 2020
1979 JESSE JEWELL PKWY SE STE 102, GAINESVILLE, GA 30501(917) 439-5229 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Jun 25, 2020 (2 updates tracked since 2020).

About James Park Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES PARK DMD (NPI 1083230064) is an individual dentist in Gainesville, Georgia, licensed in Georgia (DN124105) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1083230064
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAMES PARKCredential: DMD
Location Address1979 JESSE JEWELL PKWY SE STE 102Gainesville, GA 30501-2665
Mailing Address2735 Mcginnis Ferry Rd Unit 2220Suwanee, GA 30024-5810
Phone(917) 439-5229
Sole ProprietorNo
Enumeration DateJune 25, 2020
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1083230064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN124105
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1979 JESSE JEWELL PKWY SE STE 102, Gainesville, GA 30501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Park's NPI number?

The NPI number for James Park is 1083230064. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is James Park located?

James Park practices at 1979 Jesse Jewell Pkwy SE Ste 102, Gainesville, GA 30501. The listed phone number is (917) 439-5229.

What is James Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for James Park was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.