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

Ji Eun Park

Individual provider Dental Hygienist · NPI 1780200089

Ji Eun Park is a Dental Hygienist in Duluth, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4855 River Green Pkwy Ste 110
Duluth, GA 30096-8333
Phone: (770) 500-3757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH007607 (GA)
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1780200089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2020
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address3150 Woodwalk Dr Se Unit 1105, Atlanta, GA 30339-8482

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