P Praxis·MD
● Active Type 1 · Individual

DR. Julius Park, D.M.D.

Dentist·Woodstock, GA· NPI 1710022942 · Enumerated 2007 · 19 years on NPI
Park is 1 of 14 dentist providers in Woodstock and 1 of 539 in Georgia.
NPI age
19 years
Enumerated 2007-02-21
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, NJ, NY
3 states
Status
Active
No deactivations on record
Last NPPES update
2010-09-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
3 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
1816 Eagle Dr, 200-C
Woodstock, GA 301898272
📞 7709269260fax 7709269263
Mailing address
1816 Eagle Dr, 200-C
Woodstock, GA 301898272
📞 7709269260fax 7709269263

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN013851NJ license #22DI02198100NY license #050223 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (NY) 02731033
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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