Park Dental Group - Clinton PLLC
NPI 1730774605ActiveOrganization· Dentist, General Practice· Clinton, MS
Dentist, General Practice in Clinton, Mississippi, registered in NPPES in March 2021. The authorized official on file is Young Park, Owner.
Overview
| NPI | 1730774605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2021 |
| Last updated in NPPES | Jun 20, 2023 |
| Certified by provider | Jun 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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