SOON SEAN PARK
NPI 1326831595
Dentist - General Practice in Macon, GA

Q: What is Soon Park's NPI number?

The NPI number for Soon Park is 1326831595. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Q: What is Soon Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soon Park was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 28, 2025

4366 LOG CABIN DR, MACON, GA 31204(478) 471-6060 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Soon Sean Park NPPES

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

SOON SEAN PARK (NPI 1326831595) is an individual general practice provider in Macon, Georgia, licensed in Georgia (123888) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1326831595

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSOON SEAN PARK

Location Address4366 LOG CABIN DRMacon, GA 31204-5604

Mailing Address4366 Log Cabin DrMacon, GA 31204-5604

Phone(478) 471-6060

Sole ProprietorNo

Enumeration DateMay 28, 2025

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1326831595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 123888

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.

4366 LOG CABIN DR, Macon, GA 31204

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Other Providers at the Same Location NPPES 4

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

DR SIDNEY HOLCOMB

Dentist (General Practice)

4366 LOG CABIN DR
MACON, GA 31204

Bibb County (478) 471-6060

DR. CHARLES J LEWIS D.D.S.

Dentist (General Practice)

4366 LOG CABIN DR
MACON, GA 31204

Bibb County (478) 471-6060

DR. SIDNEY H HOLCOMB D.D.S.

Dentist (General Practice)

4366 LOG CABIN DR
MACON, GA 31204

Bibb County (478) 471-6060

MAGGIE ZHU RDH

Dental Hygienist

4366 LOG CABIN DR
MACON, GA 31204

Bibb County (478) 471-6060

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 Soon Park's NPI number?

The NPI number for Soon Park is 1326831595. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Soon Park located?

Soon Park practices at 4366 Log Cabin Dr, Macon, GA 31204. The listed phone number is (478) 471-6060.

What is Soon Park'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 Soon Park was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.