Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL J PARK, DMD
Active Sole ProprietorDR. PAUL J PARK, DMD is a Oral & Maxillofacial Surgery healthcare provider located in FORT GREGG-ADAMS, Virginia. NPI 1306491261 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FORT GREGG-ADAMS, VA
Registration Details
- NPI Number
- 1306491261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2019 (7.0085523393005 yrs)
- Last Updated
- Jan 6, 2025
- Licenses
-
0401419061 (VA)0438000506 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2601 CLARKE AVEFORT GREGG-ADAMS, VA, 23801Browse VA providers · Browse ZIP 23801
- Phone
- 8047349747
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.