NPI age
11 years
Enumerated 2014-12-09
● Active
Type 1 · Individual
Myung Park
Park is 1 of 30 dentist providers in Fort Benning and 1 of 2660 in Georgia.
Primary specialty
Dentist
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-12-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2660 active dentist providers in Georgia.
NPI age
11 years
↓ 3 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Practice location
7770 Sightseeing Rd, Dencom
Fort Benning, GA 319053764
Mailing address
7770 Sightseeing Rd, Dencom
Fort Benning, GA 319053764
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 2660 Dentist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.