OrganizationActive
Park Dental Group - Tupelo PLLC
NPI 1528722709 · General Practice Dentistry · Tupelo, MS
Park Dental Group - Tupelo PLLC is a General Practice Dentistry organization in Tupelo, MS (NPI 1528722709).
Provider details
- NPI number
- 1528722709
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Young Chan Park, Owner(662) 778-2002
Practice location
3999 N Gloster St Ste D
Tupelo, MS 38804-0950
Phone: (662) 778-2002
Street-level locationGet directions
Mailing address
Po Box 70887
Cleveland, OH 44190-0887
Registry dates
- Enumerated
- 2021-10-25
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.