JUNG MIN PARK
NPI 1710413661
Dentist - General Practice in Buford, GA

Active since May 11, 2017
3420 BUFORD DR STE E780, BUFORD, GA 30519(678) 765-9930 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2021, May 11, 2017 (2 updates tracked since 2017).

About Jung Min Park NPPES

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

JUNG MIN PARK (NPI 1710413661) is an individual general practice provider in Buford, Georgia, licensed in Georgia (DN015793) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1710413661
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJUNG MIN PARK
Location Address3420 BUFORD DR STE E780Buford, GA 30519-8774
Mailing Address2620 Moon Chase LnBuford, GA 30519-5363 · (917) 683-1392
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1710413661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN015793
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.

3420 BUFORD DR STE E780, Buford, GA 30519

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710413661, enumerated as an "individual" on May 11, 2017.

The provider is located at 3420 BUFORD DR STE E780 BUFORD, GA 30519 and the phone number is (678) 765-9930.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.