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

Soon Sean Park

Individual provider General Practice Dentistry · NPI 1326831595

Soon Sean Park is a General Practice Dentistry in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

4366 Log Cabin Dr
Macon, GA 31204-5604
Phone: (478) 471-6060
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 123888 (GA)

Record details

NPI number1326831595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address4366 Log Cabin Dr, Macon, GA 31204-5604

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