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

Dr. Chin S Park, DMD

Individual provider Dentist · NPI 1508139890

Dr. Chin S Park, DMD is a Dentist in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2415 W Park Place Blvd
Stone Mountain, GA 30087-3566
Phone: (770) 879-1200
Fax: (770) 413-1821
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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 · Licence FP2954899 (GA)
Dentist Taxonomy 122300000X · Licence DN014213 (GA)

Record details

NPI number1508139890
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 16, 2012
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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