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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: August 16, 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
Phone(706) 787-5322
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
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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.

MATTHEW JAMES DELLEN MD
Student in an Organized Health Care Education/Training Program
300 E HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
JAMES G PAIRMORE PA
Physician Assistant (Medical)
300 E HOSPITAL RD
FT. EISENHOWER, GA 30905
Richmond County (067) 787-0300
MISS AMRUTHA ELIZABETH MATHEW M.D.
Pediatrics
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Richmond County (706) 787-9399
DR. WAQAS HAQ MD
Internal Medicine
300 E HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
PETER YOON DDS
Dentist
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Richmond County (706) 787-2516
SCOTT WALTON M.D.
Otolaryngology
300 E HOSPITAL RD
FT. GORDON, GA 30905
Richmond County (801) 400-5439
NICHOLAS CARROLL DESTEFANO MD
General Practice
300 E HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 383-5299
CHRISTOPHER BARRETT JONES M.D.
Emergency Medicine
300 E HOSPITAL RD
FORT EISENHOWER, GA 30905
Richmond County (706) 721-9289

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 David Park's NPI number?

The NPI number for David Park is 1750017653. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is David Park located?

David Park practices at 300 E Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-5322.

What is David Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for David Park was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.