P Praxis·MD
● Active Type 1 · Individual

Hyun W Park, DDS

Dentist·Monroe, GA· NPI 1881773679 · Enumerated 2006 · 19 years on NPI
Park is 1 of 13 dentist providers in Monroe and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-11-03
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
256 N Hammond Dr
Monroe, GA 306552475
📞 7702070008fax 7702070033
Mailing address
256 N Hammond Dr
Monroe, GA 306552475
📞 7702070008fax 7702070033

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN12810 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 858480563C
05 (GA) 858480563A
05 (GA) 858480563B

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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