Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JINNY PARK, DMD
Active Sole ProprietorJINNY PARK, DMD is a Dentist healthcare provider located in LOGANVILLE, Georgia. NPI 1811620677 is currently active in the NPPES registry. Verify at CMS.
Dentist · LOGANVILLE, GA
Registration Details
- NPI Number
- 1811620677
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2022 (4.1185795107141 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
DN123902 (GA)DN27175 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3805 HARRISON RDLOGANVILLE, GA, 300522462Browse GA providers · Browse ZIP 30052
- Phone
- 7705540848
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT WADE SMITH | DMD | 1902971765 |
| DR. LOLA COLBERT | DDS | 1285761692 |
| DR. SHABANA QAYYUM ERATTUPARAMBIL | DDS | 1083867493 |
| DR. YAHAZIEL SIMON | D.M.D. | 1649720079 |
| DR. SIMRAN PATEL | DMD | 1568205383 |
| DR. MINSEUNG KIM | DMD | 1306682687 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.