DR. JEEYEOUN PARK D.M.D.
NPI 1982824801
Dentist - General Practice in Duluth, GA

Active since April 26, 2007
3775 VENTURE DR STE B101, DULUTH, GA 30096(404) 376-7232(470) 228-8008 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Jul 16, 2023, Jun 25, 2021 (3 updates tracked since 2021).

About Dr. Jeeyeoun Park D.m.d. NPPES

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

DR. JEEYEOUN PARK D.M.D. (NPI 1982824801) is an individual general practice provider in Duluth, Georgia, licensed in Georgia (DN014921) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1982824801
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEEYEOUN PARKCredential: D.M.D.
Location Address3775 VENTURE DR STE B101Duluth, GA 30096-5219
Mailing Address3775 Venture Dr Ste B101Duluth, GA 30096-5219 · (404) 299-5988 · Fax (470) 228-8008
Fax(470) 228-8008
Sole ProprietorYes
Enumeration DateApril 26, 2007
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1982824801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN014921
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.
3775 VENTURE DR STE B101, Duluth, GA 30096

Other Names 1

Other Name (5)Grace Park

Accepted Insurance

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 Jeeyeoun Park's NPI number?

The NPI number for Jeeyeoun Park is 1982824801. It was assigned to this individual provider in the NPPES registry on April 26, 2007. The provider is also known as Grace Park.

Where is Jeeyeoun Park located?

Jeeyeoun Park practices at 3775 Venture Dr Ste B101, Duluth, GA 30096. The listed phone number is (404) 376-7232.

What is Jeeyeoun Park's specialty?

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

What insurance does Jeeyeoun Park accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Jeeyeoun 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 Jeeyeoun Park was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.