Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396242897 Individual Practitioner Female Practitioner

Dr. Jihee Park , DMD

Dentist - General Practice • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jihee Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Georgetown, TX. Practice services are available at 1512 LEANDER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1512 Leander Rd

Georgetown, TX 786288801

Telephone 7374442626
Associated Practice Facility / Clinic
🏢 Rockdale Blackhawk Llc Facility NPI 1073924932

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
52 Specialists

Practicing in Georgetown, TX (10570 Statewide)

Telehealth Adoption Rate
1.9% 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: 2025-05-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 40172

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 GA DN015908

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

1 Associated Practitioners
Dr. Saeid Abbasiyan , DDS

Dentist - General Practice

NPI 1275143182

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location May 27, 2025

Registered at 1512 LEANDER RD, GEORGETOWN, TX 786288801 (Tel: 7374442626)

📍
Updated Business Mailing Address May 27, 2025

Registered at 1909 HARVEST DANCE DR, LEANDER, TX 786413705 (Tel: 4049935602)

📍
Updated Practice Location November 24, 2019

Registered at 699 PONCE DE LEON AVE NE, ATLANTA, GA 303081800 (Tel: 6782214954)

📍
Updated Practice Location July 24, 2019

Registered at 415 E CROSSVILLE RD STE A, ROSWELL, GA 300757626 (Tel: 6784614875)

📍
Updated Business Mailing Address July 24, 2019

Registered at 385 N ANGIER AVE NE UNIT 1307, ATLANTA, GA 303083098 (Tel: 4805281525)

👤
Provider Name / Credentials Updated July 24, 2019

Recorded as JIHEE PARK, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Dentist (License #DN015908 in GA)

NPI Profile Active April 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2018

Registered at 341 PONCE DE LEON AVE NE, ATLANTA, GA 303082012 (Tel: 4046160414)

📍
Updated Business Mailing Address April 11, 2018

Registered at 62 BOYLSTON ST APT 907, BOSTON, MA 021164787 (Tel: 4805281525)

👤
Provider Name / Credentials Updated April 11, 2018

Recorded as JI HEE PARK, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 11, 2018

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: 1396242897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2018
Last Update: May 27, 2025
Sole Proprietor: Yes

Mailing Address

1909 Harvest Dance Dr

Leander, TX 786413705

Phone: 4049935602

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.