Provider Profile

Ji Won Park, DMD

Unclaimed Profile

About Dr. Park

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Specialty

General Practice Dentistry (Primary)

Credentials & Licensing

GA licenseDN015875
NPI1255984324
NPI issued07/18/2019

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Park specialize in?

Dr. Park is a dentist in Marietta, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.

NPI registry

Where is Dr. Park located?

Dr. Park is listed at 1605 Roberta Dr Sw, Marietta, GA 30008. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Park's phone number?

The number on file is (770) 419-3120. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dr. Park's NPI number?

Dr. Park's National Provider Identifier is 1255984324. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Park been practicing?

Dr. Park has 7+ years experience. Registered with an NPI since 2019. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Park confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Park. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.