Jae Yeon Park is a Atlanta, Georgia based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jae Yeon Park is
22145 for General Practice Dentistry in Massachusetts. Her current practice location is
400 Galleria Pkwy Se Ste 800, Atlanta. Patients can reach her at
800-920-9947.
Jae Yeon Park is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jae Yeon Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jae Yeon Park |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 400 Galleria Pkwy Se Ste 800, Atlanta,
Georgia, 30339-6413 |
| Phone: | 800-920-9947 |
| Fax: | 678-904-5666 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1205096203 |
| NPI Enumeration Date: | 12 Jun, 2008 |
| NPI Last Update On: | 12 Jun, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jae Yeon Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 22145 | General Practice Dentistry | Massachusetts | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 15 Parkside Pl Apt 428,
Revere, Massachusetts |
| Zip: | 02151-1154 |
| Phone Number: | 339-223-5869 |
Patients can reach Jae Yeon Park at
400 Galleria Pkwy Se Ste 800, Atlanta, Georgia or can
call to book an appointment on 800-920-9947.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.