Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jae Yeon Park, DMD

Individual provider General Practice Dentistry · NPI 1205096203

Jae Yeon Park, DMD is a General Practice Dentistry in Atlanta, Georgia. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

400 Galleria Pkwy SE Ste 800
Atlanta, GA 30339-6413
Phone: (800) 920-9947
Fax: (678) 904-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22145 (MA)

Record details

NPI number1205096203
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESJune 12, 2008

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