Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881773679 Individual Practitioner Male Practitioner

Dr. Hyun W Park , DDS

Dentist - General Practice • Monroe, GA

Professional Overview & Biography Verified Profile Summary

Dr. Hyun Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Monroe, GA. Practice services are available at 256 N HAMMOND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

256 N Hammond Dr

Monroe, GA 306552475

Telephone 7702070008
Fax 7702070033
Associated Practice Facility / Clinic
🏢 Park Dental Group Facility NPI 1235403700

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Monroe, GA

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

Practicing in Monroe, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN12810

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
858480563C (GA)
Medicaid State Provider ID
858480563A (GA)
Medicaid State Provider ID
858480563B (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2012

Registered at 256 N HAMMOND DR, MONROE, GA 306552475 (Tel: 7702070008)

📍
Updated Business Mailing Address January 25, 2012

Registered at 256 N HAMMOND DR, MONROE, GA 306552475 (Tel: 7702070008)

👤
Provider Name / Credentials Updated January 25, 2012

Recorded as HYUN PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Dentist (License #DN12810 in GA)

🟢
Initial NPI Registration & Enumeration November 03, 2006

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: 1881773679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: January 25, 2012
Sole Proprietor: No

Mailing Address

256 N Hammond Dr

Monroe, GA 306552475

Phone: 7702070008

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.