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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1639532104

Dr. Joseph Park, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in Fort Bragg, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 13022 (NC)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 13022 (NC)

Record details

NPI number1639532104
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

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