DR. JAMES PARK D.M.D NPI 1245689728

NPI Information

  • NPI: 1245689728
  • Provider Name: DR. JAMES PARK, D.M.D
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1175 PEACHTREE ST NE STE 1210
    ATLANTA, GA
    ZIP 30361
  • Phone: (404) 874-6464

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NPI Details

DR. James Park, D.M.D is a general practice dentist in Atlanta, GA. 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. DR. James Park, D.M.D NPI is 1245689728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1175 PEACHTREE ST NE STE 1210
ATLANTA, GA
ZIP 30361-544
Phone: (404) 874-6464

The NPI 1245689728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/6/2016 and was last updated on 3/21/2025.

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
1122300000XDentistDN 21873FLORIDANo
21223G0001XDentistGeneral PracticeDN123428GEORGIAYes

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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