Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144854571 Individual Practitioner Female Practitioner

Dr. Hailey Kyung Yeon Park , DDS

Dentist - General Practice • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Hailey Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Atlanta, GA. Practice services are available at 3103 CLAIRMONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3103 Clairmont Rd
Suite C

Atlanta, GA 30329

Telephone 4049420086
Associated Practice Facility / Clinic
🏢 Ddd Foundation, Inc Facility NPI 1265642094

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
383 Specialists

Practicing in Atlanta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123729

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02898800

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Diamond Enyinnia , DDS

Dentist - General Practice

NPI 1235814864

Doctor of Dental Surgery

NPI 1255400966

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location August 26, 2025

Registered at 3103 CLAIRMONT RD, SUITE C, ATLANTA, GA 30329 (Tel: 4049420086)

📍
Updated Business Mailing Address August 26, 2025

Registered at 3103 CLAIRMONT RD, SUITE C, ATLANTA, GA 30329

📍
Updated Practice Location March 26, 2024

Registered at 654 AVENUE C STE 202, BAYONNE, NJ 070023899 (Tel: 2014367777)

📍
Updated Business Mailing Address March 26, 2024

Registered at 654 AVENUE C STE 202, BAYONNE, NJ 070023899

📍
Updated Practice Location February 11, 2024

Registered at 66 SOMME ST, NEWARK, NJ 071053612 (Tel: 9737073763)

📍
Updated Business Mailing Address February 11, 2024

Registered at 66 SOMME ST, NEWARK, NJ 071053612

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2022

Dentist (License #22DI02898800 in NJ)

📍
Updated Practice Location May 09, 2022

Registered at 65 JEFFERSON AVE, ELIZABETH, NJ 072012474 (Tel: 9084699100)

📍
Updated Business Mailing Address May 09, 2022

Registered at 65 JEFFERSON AVE, ELIZABETH, NJ 072012474

📍
Updated Practice Location October 01, 2021

Registered at 1225 MORRIS PARK AVE, BRONX, NY 104611929 (Tel: 7184308500)

📍
Updated Business Mailing Address October 01, 2021

Registered at 1225 MORRIS PARK AVE, BRONX, NY 104611929 (Tel: 6616184042)

📍
Updated Practice Location April 15, 2021

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7184308500)

NPI Profile Active February 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2020

Registered at 4422 3RD AVE, BRONX, NY 104572594 (Tel: 6616184042)

📍
Updated Business Mailing Address February 25, 2020

Registered at 4422 3RD AVE, BRONX, NY 104572594 (Tel: 6616184042)

👤
Provider Name / Credentials Updated February 25, 2020

Recorded as HAILEY PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144854571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2020
Last Update: August 26, 2025
Sole Proprietor: No

Mailing Address

3103 Clairmont Rd, Suite C

Atlanta, GA 30329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.