P Praxis·MD
● Active Type 1 · Individual

Lena Park, DMD

Dentist·Braselton, GA· NPI 1578444162 · Enumerated 2025 · 0 years on NPI
Park is 1 of 8 dentist providers in Braselton and 1 of 2660 in Georgia.
NPI age
— years
Enumerated 2025-09-10
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
0 years
↓ 14 yr below median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-09Enumerated in NPPES
2025 2026

Where they practice

Practice location
1046 Braselton Village Pkwy
Braselton, GA 305172643
📞 7069545161
Mailing address
184 Auburn Crossing Dr
Auburn, GA 300115517
📞 4803278260

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN123892FL license #DN30544 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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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.

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