Search › Georgia › 1223G0001X
Chin Park, DMD
NPI 1508139890 · on the registry since 2012
Practice
- Address
- 2415 W Park Place Blvd
Stone Mountain, GA 30087 - Phone
- (770) 879-1200
- Fax
- (770) 413-1821
- Organisation at this address
- Sm Dentistry Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-09
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 Georgia