Jae Yeon Park, DMD - Dentist in Atlanta, GA

Jae Yeon Park, DMD is a Dentist - General Practice based in Atlanta, Georgia. Jae Yeon Park is licensed to practice in Massachusetts (license number 22145) and her current practice location is 400 Galleria Pkwy Se Ste 800, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (800) 920-9947.

NPI number for Jae Yeon Park is 1205096203 and her current mailing address is 15 Parkside Pl Apt 428, Revere, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205096203.

Contact Information

Jae Yeon Park, DMD
400 Galleria Pkwy Se Ste 800,
Atlanta, GA 30339-6413
(800) 920-9947
(678) 904-5666

Map and Direction




Healthcare Provider's Profile

Full NameJae Yeon Park
GenderFemale
SpecialityDentist - General Practice
Location400 Galleria Pkwy Se Ste 800, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205096203
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 06/12/2008

Medical Identifiers

Medical identifiers for Jae Yeon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205096203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 22145 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae Yeon Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jae Yeon Park, DMD
15 Parkside Pl Apt 428,
Revere, MA 02151-1154

Ph: (339) 223-5869
Jae Yeon Park, DMD
400 Galleria Pkwy Se Ste 800,
Atlanta, GA 30339-6413

Ph: (800) 920-9947

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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