PARK DENTAL GROUP - FLOWOOD PLLC NPI 1093300964

NPI Information

  • NPI: 1093300964
  • Provider Name: PARK DENTAL GROUP - FLOWOOD PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 105 RIDGE WAY STE 3
    FLOWOOD, MS
    ZIP 39232
  • Phone: (601) 203-1654

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NPI Details

PARK DENTAL GROUP - FLOWOOD PLLC is a general practice dentist in Flowood, MS. The provider is 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. PARK DENTAL GROUP - FLOWOOD PLLC NPI is 1093300964. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

105 RIDGE WAY STE 3
FLOWOOD, MS
ZIP 39232-301
Phone: (601) 203-1654

The provider's authorized official is Young Park .
The authorized official title is Owner and has the following contact phone number (601) 203-1654.

The enumeration date for this NPI number is 3/3/2021 and was last updated on 6/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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