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DR. PAUL J PARK DMD
NPI 1306491261
Dentist - Oral and Maxillofacial Surgery in Fort Gregg-adams, VA

Active since August 07, 2019
2601 CLARKE AVE, FORT GREGG-ADAMS, VA 23801(804) 734-9747 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Jan 2, 2025, Jul 5, 2024 and 2 more (5 updates tracked since 2019).

About Dr. Paul J Park Dmd NPPES

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

DR. PAUL J PARK DMD (NPI 1306491261) is an individual oral and maxillofacial surgery provider in Fort Gregg-adams, Virginia, licensed in Virginia (0438000506) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1306491261
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PAUL J PARKCredential: DMD
Location Address2601 CLARKE AVEFort Gregg-adams, VA 23801
Mailing Address2601 Clarke AveFort Gregg-adams, VA 23801 · (804) 734-9607
Phone(804) 734-9747
Sole ProprietorYes
Enumeration DateAugust 7, 2019
Last NPPES UpdateJanuary 6, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1306491261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in VA · 0438000506
Definition
An oral and maxillofacial surgery dentist specialized in 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.
Also ListedDentistTaxonomy 122300000X · License 0401419061 (VA)
2601 CLARKE AVE, Fort Gregg-adams, VA 23801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNEMARIE LABARCA DDS
Dentist
2601 CLARKE AVE
APO, AA 23801
Prince George County (804) 734-9607

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 Paul Park's NPI number?

The NPI number for Paul Park is 1306491261. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Paul Park located?

Paul Park practices at 2601 Clarke Ave, Fort Gregg-Adams, VA 23801. The listed phone number is (804) 734-9747.

What is Paul Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Paul Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Paul Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Park was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.