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

Dr. Scott Juyoung Park, DMD

Individual provider General Practice Dentistry · NPI 1376114207

Dr. Scott Juyoung Park, DMD is a General Practice Dentistry in Morrow, Georgia. Practices as a sole proprietor. Licensed in Georgia, Illinois and Wisconsin.

Licensed in
GA, IL, WI
In the registry since
2021
Specialties on file
3
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

7155 Jonesboro Rd
Morrow, GA 30260-2908
Phone: (678) 904-5166
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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 DN122376 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 1002618-15 (WI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019.033440 (IL)

Record details

NPI number1376114207
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 1, 2021
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

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