Soon Sean Park is a Macon, Georgia based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Soon Sean Park is
123888 for General Practice Dentistry in Georgia. His current practice location is
4366 Log Cabin Dr, Macon. Patients can reach him at
478-471-6060.
Soon Sean Park is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Soon Sean Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Soon Sean Park |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4366 Log Cabin Dr, Macon,
Georgia, 31204-5604 |
| Phone: | 478-471-6060 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1326831595 |
| NPI Enumeration Date: | 28 May, 2025 |
| NPI Last Update On: | 27 Oct, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soon Sean Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 123888 | General Practice Dentistry | Georgia | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4366 Log Cabin Dr,
Macon, Georgia |
| Zip: | 31204-5604 |
Patients can reach Soon Sean Park at
4366 Log Cabin Dr, Macon, Georgia or can
call to book an appointment on 478-471-6060.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.