Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Scott Park, DMD

Individual provider General Practice Dentistry · NPI 1376114207

Dr. Scott Park, DMD practises General Practice Dentistry in Newnan, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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

2511 Highway 34 E Ste A
Newnan, GA 30265-2309
Phone: (770) 251-6676
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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)

Record details

NPI number1376114207
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 1, 2021
Last updated in NPPESNovember 2, 2026
Certification dateNovember 2, 2026

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