P Praxis·MD
● Active Type 1 · Individual

Seon Gyeong Park, DDS

Dentist·Cumming, GA· NPI 1669097614 · Enumerated 2020 · 5 years on NPI
Park is 1 of 39 dentist providers in Cumming and 1 of 2660 in Georgia.
NPI age
5 years
Enumerated 2020-06-15
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-03-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
5 years
↓ 9 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 · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
285 Elm St
Cumming, GA 300408233
📞 6784557828
Mailing address
285 Elm St Ste 103
Cumming, GA 300408233

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 #DN122296IL license #019032684 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 7 other active providers share 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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