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

Jung Min Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710413661

Jung Min Park is a Student in an Organized Health Care Education/Training Program in Buford, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3420 Buford Dr Ste E780
Buford, GA 30519-8774
Phone: (678) 765-9930
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 DN015793 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710413661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021
Mailing address2620 Moon Chase Ln, Buford, GA 30519-5363

Other providers in Buford