Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park Dental Group - Tupelo PLLC

Organization General Practice Dentistry · NPI 1528722709

Park Dental Group - Tupelo PLLC is a General Practice Dentistry in Tupelo, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3999 N Gloster St Ste D
Tupelo, MS 38804-0950
Phone: (662) 778-2002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1528722709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Young Chan Park — Owner · (662) 778-2002
NPI enumeratedOctober 25, 2021
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing addressPo Box 70887, Cleveland, OH 44190-0887

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