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

Ji Won Park, DMD

Individual provider General Practice Dentistry · NPI 1255984324

Ji Won Park, DMD is a General Practice Dentistry in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2019.

Licensed in
GA
In the registry since
2019
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

1605 Roberta Dr SW
Marietta, GA 30008-3855
Phone: (770) 419-3120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN015875 (GA)

Record details

NPI number1255984324
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 18, 2019
Mailing address11 Perimeter Ctr E Apt 2304, Atlanta, GA 30346-1650

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