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Scott Park, DMD
NPI 1376114207 · on the registry since 2021 · sole proprietor
Practice
- Address
- 7155 Jonesboro Rd
Morrow, GA 30260 - Phone
- (678) 904-5166
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
1223G0001X - Licence states on file
- GA, WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-14
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