DR. JANICE CARMEN PARK DMD
NPI 1457081101
Dentist - General Practice in Peachtree City, GA

Active since June 15, 2022
2513 REDWINE RD STE C, PEACHTREE CITY, GA 30269(770) 486-1984 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Janice Carmen Park Dmd NPPES

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

DR. JANICE CARMEN PARK DMD (NPI 1457081101) is an individual general practice provider in Peachtree City, Georgia, licensed in Georgia (DN122694) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1457081101
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JANICE CARMEN PARKCredential: DMD
Location Address2513 REDWINE RD STE CPeachtree City, GA 30269-4420
Mailing Address270 Savannah DrSenoia, GA 30276-2357 · (830) 319-2761
Sole ProprietorYes
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1457081101 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 · DN122694
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.
2513 REDWINE RD STE C, Peachtree City, GA 30269

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2513 REDWINE RD STE C
PEACHTREE CITY, GA 30269
Dentist
2513 REDWINE RD STE C
PEACHTREE CITY, GA 30269

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 Janice Park's NPI number?

The NPI number for Janice Park is 1457081101. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Janice Park located?

Janice Park practices at 2513 Redwine Rd Ste C, Peachtree City, GA 30269. The listed phone number is (770) 486-1984.

What is Janice 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 Janice Park was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.