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Jihyeon Park

Dentist - General Practice β€’ Columbus, GA

Active NPI 1700570686 Individual Practitioner Female Practitioner
Practice location in NPPES

4519 Woodruff Rd Ste 10
Columbus, GA 319046091

Call 4705246317 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4519 Woodruff Rd Ste 10

Columbus, GA 319046091

Telephone 4705246317
Organization at the Same NPPES Address or Phone
Candler Road Dental, Pc Facility NPI 1841387446

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Georgia

58 active clinicians are listed under Dentist - General Practice with a practice address in Columbus, GA (3,171 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 58 clinicians have the CMS telehealth indicator.

0% of these 58 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES GA DN124198

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 02, 2026

Registered at 4519 WOODRUFF RD STE 10, COLUMBUS, GA 319046091 (Tel: 4705246317)

πŸ“
Updated Business Mailing Address July 02, 2026

Registered at 6734 BECK BLVD UNIT 29, COLUMBUS, GA 319043391

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Dentist (license number reported to NPPES: GA DN124198)

βœ…
NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2023

Registered at 13375 CARDINAL RIDGE RD UNIT I, CHINO HILLS, CA 917091235 (Tel: 7063665169)

πŸ“
Business Mailing Address (Initial Record) June 05, 2023

Registered at 13375 CARDINAL RIDGE RD UNIT I, CHINO HILLS, CA 917091235

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2023

Recorded as JIHYEON PARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 05, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700570686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: July 02, 2026
Sole Proprietor: No

Other Dentist - General Practices in Columbus

All Dentist - General Practices in Columbus

Mailing Address

6734 Beck Blvd Unit 29

Columbus, GA 319043391

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.