Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376114207 Individual Practitioner Male Practitioner

Dr. Scott Juyoung Park , DMD

Dentist - General Practice • Morrow, GA

Professional Overview & Biography Verified Profile Summary

Dr. Scott Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Morrow, GA. Practice services are available at 7155 JONESBORO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7155 Jonesboro Rd

Morrow, GA 302602908

Telephone 6789045166

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Morrow, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Morrow, GA (3302 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: 2025-05-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN122376

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 1002618-15

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019.033440

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Erika Jones , DDS

Dentist - General Practice

NPI 1407583206

Doctor of Dental Surgery

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location May 14, 2025

Registered at 7155 JONESBORO RD, MORROW, GA 302602908 (Tel: 6789045166)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2025

Dentist (License #DN122376 in GA)

📍
Updated Practice Location August 01, 2024

Registered at 455 CHURCH ST, FAYETTEVILLE, GA 302141674 (Tel: 7704613921)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Dentist (License #1002618-15 in WI)

📍
Updated Practice Location June 30, 2023

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309123947 (Tel: 7067212371)

📍
Updated Practice Location March 01, 2022

Registered at 365 MARKET PL STE 100, ROSWELL, GA 300753947 (Tel: 7709988116)

📍
Updated Practice Location November 18, 2021

Registered at 1190 GRIMES BRIDGE RD STE B, ROSWELL, GA 300753930 (Tel: 7709988116)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2021

Dentist (License #019.033440 in IL)

📍
Updated Business Mailing Address August 10, 2021

Registered at 4632 DANDELION CIR NE, MARIETTA, GA 300673660 (Tel: 4043136654)

NPI Profile Active July 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2021

Registered at 6430 GREEN BAY RD STE 112, KENOSHA, WI 531422948 (Tel: 2626533980)

📍
Updated Business Mailing Address July 01, 2021

Registered at 4026 FAWN RUN, MARIETTA, GA 300682635 (Tel: 4043136654)

👤
Provider Name / Credentials Updated July 01, 2021

Recorded as SCOTT PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Dentist (License #1002618-15 in WI)

🟢
Initial NPI Registration & Enumeration July 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Scott Park. Be the first to share your experience!

Sign in to leave a review for Dr. Scott Park

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376114207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2021
Last Update: May 14, 2025
Sole Proprietor: Yes

Mailing Address

4632 Dandelion Cir Ne

Marietta, GA 300673660

Phone: 4043136654

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.