NPI age
5 years
Enumerated 2020-06-22
● Active
Type 1 · Individual
Ji Eun Park
Park is 1 of 6 dental hygienist providers in Duluth and 1 of 229 in Georgia.
Primary specialty
Dental Hygienist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 229 active dental hygienist providers in Georgia.
NPI age
5 years
≈ at median (6 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-06Enumerated in NPPES
2020
2026
Where they practice
Practice location
4855 River Green Pkwy Ste 110
Duluth, GA 300968333
Mailing address
3150 Woodwalk Dr Se Unit 1105
Atlanta, GA 303398482
Specialties
-
Dental Hygienist PrimaryAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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