DR. DAVID PARK
NPI 1750017653
Dentist in Fort Gordon, GA

Active since July 25, 2022
300 E HOSPITAL RD, FORT GORDON, GA 30905(706) 787-5322 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2023, Jul 25, 2022 (2 updates tracked since 2022).

About Dr. David Park NPPES

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

DR. DAVID PARK (NPI 1750017653) is an individual dentist in Fort Gordon, Georgia, licensed in Georgia (DN122805) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1750017653
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID PARK
Location Address300 E HOSPITAL RDFort Gordon, GA 30905
Mailing Address2826 Norborne PlOakton, VA 22124-5001
Sole ProprietorNo
Enumeration DateJuly 25, 2022
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
NPI 1750017653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DN122805
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

300 E HOSPITAL RD, Fort Gordon, GA 30905

Other Providers at the Same Location NPPES 20

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

Military Hospital (Military General Acute Care Hospital)
300 E HOSPITAL RD, DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Social Worker (Clinical)
300 E HOSPITAL RD, EAMC- RTF- 12 WEST
FT. GORDON, GA 30905
Dietitian, Registered
300 E HOSPITAL RD
FT GORDON, GA 30905
Psychologist
300 E HOSPITAL RD
FORT GORDON, GA 30905
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 E HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
FT GORDON, GA 30905
Clinical Neuropsychologist
300 E HOSPITAL RD, ROOM 13A-10
FORT GORDON, GA 30905
Urology
300 E HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905
Military Health Care Provider
300 E HOSPITAL RD
FT GORDON, GA 30905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750017653, enumerated as an "individual" on July 25, 2022.

The provider is located at 300 E HOSPITAL RD FORT GORDON, GA 30905 and the phone number is (706) 787-5322.

Dentist with taxonomy code 122300000X.