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SEON GYEONG PARK DDS
NPI 1669097614
Dentist in Cumming, GA

Active since June 15, 2020

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2022, Dec 9, 2021, Jun 15, 2020 (3 updates tracked since 2020).

About Seon Gyeong Park Dds NPPES

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

SEON GYEONG PARK DDS (NPI 1669097614) is an individual dentist in Cumming, Georgia, licensed in Georgia (DN122296) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1669097614
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSEON GYEONG PARKCredential: DDS
Location Address285 ELM STCumming, GA 30040-8233
Mailing Address285 Elm St Ste 103Cumming, GA 30040-8233
Phone(678) 455-7828
Sole ProprietorYes
Enumeration DateJune 15, 2020
Last NPPES UpdateMarch 7, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2022
✔ NPI 1669097614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in GA · DN122296✔ Licensed in IL · 019032684
Definition
A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
285 ELM ST, Cumming, GA 30040
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Accepted Insurance

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

Other Providers at the Same Location NPPES 7

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

DR. KENNETH ROBERT WYATT DMD
Dentist (General Practice)
285 ELM ST, SUITE 200
CUMMING, GA 30040
Forsyth County (770) 887-2915
RENEE L WATERS, MD PC
Pediatrics
285 ELM ST, SUITE 102
CUMMING, GA 30040
Forsyth County (770) 205-9457
DR. DOUGLAS GARLAND HISER DMD, MS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
285 ELM ST, SUITE 101
CUMMING, GA 30040
Forsyth County (770) 888-7798
DR. JAMES WOODROW LAMB III D.M.D., M.S.
Dentist (Periodontics)
285 ELM ST, STE. 103
CUMMING, GA 30040
Forsyth County (678) 455-7828
DR. CHRISTINA MCKELLAR DMD
Dentist (Pediatric Dentistry)
285 ELM ST, STE 301
CUMMING, GA 30040
Forsyth County (770) 744-4581
CHATTAHOOCHEE FAMILY ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
285 ELM ST, SUITE 101
CUMMING, GA 30040
Forsyth County (770) 888-7798
CHILDREN AND TEEN DENTAL GROUP
Dentist (Pediatric Dentistry)
285 ELM ST
CUMMING, GA 30040
Forsyth County (770) 744-4581

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 Seon Gyeong Park's NPI number?

The NPI number for Seon Gyeong Park is 1669097614. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Seon Gyeong Park located?

Seon Gyeong Park practices at 285 Elm St, Cumming, GA 30040. The listed phone number is (678) 455-7828.

What is Seon Gyeong Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Seon Gyeong Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Seon Gyeong 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 Seon Gyeong Park was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.