NPI age
8 years
Enumerated 2017-08-23
● Active
Type 1 · Individual
Griffin Davis Park, DMD
Park is 1 of 241 dentist providers in Fort Worth and 1 of 9237 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, NV
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 9237 active dentist providers in Texas.
NPI age
8 years
↓ 4 yr below median (12 yr)
State licenses
2 states
Top 93% — 7% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-08Enumerated in NPPES
2017
2026
Where they practice
Practice location
5656 Edwards Ranch Rd Ste 101
Fort Worth, TX 761094105
Mailing address
5656 Edwards Ranch Rd Ste 101
Fort Worth, TX 761094105
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 33671 | TEXAS STATE BOARD |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new dentist providers have been added in Fort Worth in the last 180 days.
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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.