Park Dental Group - Clinton PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PARK DENTAL GROUP - CLINTON PLLC

Practice address

226 Highway 80 E
Clinton, MS 39056-4716

Phone

(601) 339-2086

NPI assigned

Mar 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Young Park

Title

Owner

Phone

(601) 339-2086

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1730774605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564716",
            "telephone_number": "601-339-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL GROUP - CLINTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-339-2086"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakayla Palmer
• Palmetto Senior Care
• Walter Pang, O.D.
• Bobby C Pankey, O.D.
• Dillon J Pankey, OD
• Jessica Parker, PTA
• David King Parks, DMD
• Tracy Denise Parsons
• Khushi Prakash Patel, PA-C
• Trisha Rajesh Patel, DMD

• General Practice Dentistry in Clinton, MS
• Providers in Clinton, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.