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DR. CHIN S PARK DMD
NPI 1508139890
Dentist - General Practice in Stone Mountain, GA

Active since February 16, 2012
2415 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087(770) 879-1200(770) 413-1821 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chin S Park Dmd NPPES

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

DR. CHIN S PARK DMD (NPI 1508139890) is an individual general practice provider in Stone Mountain, Georgia, licensed in Georgia (FP2954899) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1508139890
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHIN S PARKCredential: DMD
Location Address2415 W PARK PLACE BLVDStone Mountain, GA 30087-3566
Mailing Address2415 W Park Place BlvdStone Mountain, GA 30087-3566 · (770) 879-1200 · Fax (770) 413-1821
Phone(770) 879-1200
Fax(770) 413-1821
Sole ProprietorNo
Enumeration DateFebruary 16, 2012
Last NPPES UpdateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1508139890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · FP2954899
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.
Also ListedDentistTaxonomy 122300000X · License DN014213 (GA)
2415 W PARK PLACE BLVD, Stone Mountain, GA 30087
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Accepted Insurance

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

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.

SM DENTISTRY INC
Dentist
2415 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (770) 879-1200
JOSEPH D MATTHEWS JR.
Dentist (Orofacial Pain)
2415 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (470) 986-1004

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 Chin Park's NPI number?

The NPI number for Chin Park is 1508139890. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Where is Chin Park located?

Chin Park practices at 2415 W Park Place Blvd, Stone Mountain, GA 30087. The listed phone number is (770) 879-1200.

What is Chin Park's specialty?

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

What insurance does Chin Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Chin 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 Chin Park was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.