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JAE YEON PARK DMD
NPI 1205096203
Dentist - General Practice in Atlanta, GA

Active since June 12, 2008
400 GALLERIA PKWY SE STE 800, ATLANTA, GA 30339(800) 920-9947(678) 904-5666 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jae Yeon Park Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE YEON PARK DMD (NPI 1205096203) is an individual general practice provider in Atlanta, Georgia, licensed in Massachusetts (22145) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1205096203
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJAE YEON PARKCredential: DMD
Location Address400 GALLERIA PKWY SE STE 800Atlanta, GA 30339-6413
Mailing Address15 Parkside Pl Apt 428Revere, MA 02151-1154 · (339) 223-5869
Phone(800) 920-9947
Fax(678) 904-5666
Sole ProprietorNo
Enumeration DateJune 12, 2008
✔ NPI 1205096203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 22145
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

400 GALLERIA PKWY SE STE 800, Atlanta, GA 30339
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTA COOLEY D.D.S.
Dentist
400 GALLERIA PKWY SE STE 800
ATLANTA, GA 30339
Cobb County (770) 916-5353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Yeon Park's NPI number?

The NPI number for Jae Yeon Park is 1205096203. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Jae Yeon Park located?

Jae Yeon Park practices at 400 Galleria Pkwy SE Ste 800, Atlanta, GA 30339. The listed phone number is (800) 920-9947.

What is Jae Yeon Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jae Yeon Park accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jae Yeon Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Yeon Park was last updated on June 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.