Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750017653 Individual Practitioner Male Practitioner

David Park

Dentist • Fort Gordon, GA

Professional Overview & Biography Verified Profile Summary

David Park is a registered healthcare professional specializing in Dentist in Fort Gordon, GA. Practice services are available at 300 E HOSPITAL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 E Hospital Rd

Fort Gordon, GA 30905

Telephone 7067875322
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Gordon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Fort Gordon, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN122805

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Frank De Latour , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1497164081

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 16, 2023

Registered at 300 E HOSPITAL RD, FORT GORDON, GA 30905 (Tel: 7067875322)

NPI Profile Active July 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2022

Registered at 25501 BRAINARD AVE, FORT GORDON, GA 30905 (Tel: 7067877050)

📍
Updated Business Mailing Address July 25, 2022

Registered at 2826 NORBORNE PL, OAKTON, VA 221245001

👤
Provider Name / Credentials Updated July 25, 2022

Recorded as DAVID PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Dentist (License #DN122805 in GA)

🟢
Initial NPI Registration & Enumeration July 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750017653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2022
Last Update: August 16, 2023
Sole Proprietor: No

Mailing Address

2826 Norborne Pl

Oakton, VA 221245001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.