Individual
JAMES PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1979 JESSE JEWELL PKWY SE STE 102, GAINESVILLE, GA 30501-2665
(917) 439-5229
Mailing address
2735 MCGINNIS FERRY RD UNIT 2220, SUWANEE, GA 30024-5810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN124105
GA
122300000X
Dentist
Primary
DN1858706
MA
Other
Enumeration date
06/25/2020
Last updated
05/27/2026
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