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PARK DENTAL GROUP - FLOWOOD PLLC
NPI 1093300964
Dentist - General Practice in Flowood, MS

Active since March 03, 2021
105 RIDGE WAY STE 3, FLOWOOD, MS 39232(601) 203-1654 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 13, 2023, Mar 3, 2021 (2 updates tracked since 2021).

About Park Dental Group - Flowood Pllc NPPES

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

PARK DENTAL GROUP - FLOWOOD PLLC (NPI 1093300964) is a healthcare organization registered as a general practice in Flowood, Mississippi and active in the NPI registry since March 2021. The organization lists Young Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1093300964
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePARK DENTAL GROUP - FLOWOOD PLLC
Location Address105 RIDGE WAY STE 3Flowood, MS 39232-3301
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(601) 203-1654
Organization SubpartNo
Authorized OfficialYoung ParkOwner · (601) 203-1654
Enumeration DateMarch 3, 2021
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1093300964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
105 RIDGE WAY STE 3, Flowood, MS 39232
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Park Dental Group - Flowood PLLC's NPI number?

The NPI number for Park Dental Group - Flowood PLLC is 1093300964. It was assigned to this organization in the NPPES registry on March 3, 2021.

Where is Park Dental Group - Flowood PLLC located?

Park Dental Group - Flowood PLLC is located at 105 Ridge Way Ste 3, Flowood, MS 39232. The listed phone number is (601) 203-1654.

What is Park Dental Group - Flowood PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Park Dental Group - Flowood PLLC was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.