Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780200089 Individual Practitioner Female Practitioner

Ji Eun Park

Dental Hygienist • Duluth, GA

Professional Overview & Biography Verified Profile Summary

Ji Eun Park is a registered healthcare professional specializing in Dental Hygienist in Duluth, GA. Practice services are available at 4855 RIVER GREEN PKWY STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4855 River Green Pkwy Ste 110

Duluth, GA 300968333

Telephone 7705003757

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Hygienist in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Duluth, GA (234 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: 2023-12-29
Dental Hygienist Primary Specialty

NUCC Taxonomy Code: 124Q00000X

State License GA DH007607

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Dental Hygienist

NUCC Taxonomy Code: 124Q00000X

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Jong Lee , DDS

Dentist - General Practice

NPI 1124305057

Doctor of Dental Surgery

Dr. Beom Lee , DDS

Dentist - General Practice

NPI 1891806444

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location December 29, 2023

Registered at 4855 RIVER GREEN PKWY STE 110, DULUTH, GA 300968333 (Tel: 7705003757)

NPI Profile Active June 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2020

Registered at 3206 SHALLOWFORD RD NE, ATLANTA, GA 303413633 (Tel: 7704576603)

📍
Updated Business Mailing Address June 22, 2020

Registered at 3150 WOODWALK DR SE UNIT 1105, ATLANTA, GA 303398482 (Tel: 7066150301)

👤
Provider Name / Credentials Updated June 22, 2020

Recorded as JI EUN PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2020

Dental Hygienist

🟢
Initial NPI Registration & Enumeration June 22, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ji Eun Park. Be the first to share your experience!

Sign in to leave a review for Ji Eun Park

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780200089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2020
Last Update: December 29, 2023
Sole Proprietor: Yes

Mailing Address

3150 Woodwalk Dr Se Unit 1105

Atlanta, GA 303398482

Phone: 7066150301

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.