Search › Virginia › 1223S0112X
Paul Park, DMD
NPI 1306491261 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2601 Clarke Ave
Fort Gregg-Adams, VA 23801 - Phone
- (804) 734-9747
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia