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

Griffin Davis Park, DMD

Individual provider Dentist · NPI 1427575307

Griffin Davis Park, DMD is a Dentist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Nevada and Texas.

Licensed in
NV, TX
In the registry since
2017
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

5656 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4105
Phone: (817) 731-9487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 33671 (TX)
Dentist Taxonomy 122300000X · Licence 6943 (NV)

Record details

NPI number1427575307
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 23, 2017
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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