P Praxis·MD
● Active Type 1 · Individual

DR. Sanghyun Park, DMD

Dentist·Kennesaw, GA· NPI 1063026235 · Enumerated 2020 · 5 years on NPI
Park is 1 of 4 dentist providers in Kennesaw and 1 of 200 in Georgia.
NPI age
5 years
Enumerated 2020-09-03
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 200 active dentist providers in Georgia.

NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
2 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
1610 Ridenour Blvd Nw Ste 102
Kennesaw, GA 301524486
📞 6782732819
Mailing address
1610 Ridenour Blvd Nw Ste 102
Kennesaw, GA 301524486
📞 2155823550

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
112 Westminster Rd
Scarsdale, NY 105832425
📞 9147689017
Location 3
67 Woodside Ave
Briarcliff Manor, NY 105101715
📞 9147689817

Specialties

  • Dentist Primary
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    GA license #DN123656NY license #061292 taxonomy 1223E0200X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 200 Dentist providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related