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

Dr. Paul J Park, DMD

Individual provider Dentist · NPI 1306491261

Dr. Paul J Park, DMD is a Dentist in Fort Gregg Adams, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2601 Clarke Ave
Fort Gregg Adams, VA 23801
Phone: (804) 734-9747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0438000506 (VA)
Dentist Taxonomy 122300000X · Licence 0401419061 (VA)

Record details

NPI number1306491261
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 7, 2019
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

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