DR. JULIUS PARK D.M.D. NPI 1710022942

NPI Information

  • NPI: 1710022942
  • Provider Name: DR. JULIUS PARK, D.M.D.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 1816 EAGLE DR
    200-C
    WOODSTOCK, GA
    ZIP 30189
  • Phone: (770) 926-9260

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NPI Details

DR. Julius Park, D.M.D. is a pediatric dentistry dentist in Woodstock, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Julius Park, D.M.D. NPI is 1710022942. 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:

1816 EAGLE DR
200-C
WOODSTOCK, GA
ZIP 30189-272
Phone: (770) 926-9260
Fax: (770) 926-9263

The enumeration date for this NPI number is 2/21/2007 and was last updated on 9/22/2010.

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
11223P0221XDentistPediatric Dentistry22DI02198100NEW JERSEYNo
21223P0221XDentistPediatric Dentistry050223NEW YORKNo
31223P0221XDentistPediatric DentistryDN013851GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102731033MEDICAIDNEW YORK

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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