Individual provider · Type 1 NPI

Ji Eun Park

Dental Hygienist · Duluth, GA

NPI number 1780200089 Active

Practice location

4855 River Green Pkwy Ste 110
Duluth, GA 30096-8333

Call (770) 500-3757 Map

Mailing address

3150 Woodwalk Dr SE Unit 1105
Atlanta, GA 30339-8482

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XNone listed
Dental Hygienist Primary 124Q00000XDH007607 (GA)

Dental Hygienist: An 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. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1780200089

Ji Eun Park's National Provider Identifier is 1780200089, issued on Jun 22, 2020. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Duluth, GA. The record was last updated on Dec 29, 2023.