Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982824801 Individual Practitioner Female Practitioner

Dr. Jeeyeoun Park , DMD

Dentist - General Practice • Duluth, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jeeyeoun Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Duluth, GA. Practice services are available at 3775 VENTURE DR STE B101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3775 Venture Dr Ste B101

Duluth, GA 300965219

Telephone 4043767232
Fax 4702288008

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
61 Specialists

Practicing in Duluth, 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: 2025-10-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN014921

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.

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 16, 2024

Registered at 3775 VENTURE DR STE B101, DULUTH, GA 300965219 (Tel: 4043767232)

📍
Updated Practice Location March 22, 2024

Registered at 2855 LAWRENCEVILLE SUWANEE RD STE 360, SUWANEE, GA 300243596 (Tel: 6784822197)

📍
Updated Business Mailing Address March 22, 2024

Registered at 3775 VENTURE DR STE B101, DULUTH, GA 300965219 (Tel: 4043767232)

📍
Updated Practice Location July 16, 2023

Registered at 1630 PLEASANT HILL RD, DULUTH, GA 300965899 (Tel: 4043817878)

📍
Updated Practice Location June 25, 2021

Registered at 75 MARIETTA ST NW STE 100, ATLANTA, GA 303032815 (Tel: 4045770868)

📍
Updated Business Mailing Address June 25, 2021

Registered at 1893 HAMPTON GROVE WAY, DACULA, GA 300191534

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Dentist (License #DN014921 in GA)

NPI Profile Active December 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2007

Registered at 770 RESERVOIR AVE, CRANSTON, RI 029104449 (Tel: 4019420270)

📍
Updated Business Mailing Address December 26, 2007

Registered at 770 RESERVOIR AVE, CRANSTON, RI 029104449 (Tel: 4019420270)

👤
Provider Name / Credentials Updated December 26, 2007

Recorded as JEEYEOUN PARK, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2007

Dentist (License #02992 in RI)

🟢
Initial NPI Registration & Enumeration April 26, 2007

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: 1982824801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: October 21, 2025
Sole Proprietor: Yes

Mailing Address

3775 Venture Dr Ste B101

Duluth, GA 300965219

Phone: 4042995988

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.