Search › Georgia › 1223E0200X
Sanghyun Park, DMD
NPI 1063026235 · on the registry since 2020
Practice
- Address
- 1610 Ridenour Blvd Nw Ste 102
Kennesaw, GA 30152 - Phone
- (678) 273-2819
- Organisation at this address
- Kelly Vaughn Dds Pc
Sage Dental Group Of Georgia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 112 Westminster Rd, Scarsdale, NY
- 67 Woodside Ave, Briarcliff Manor, NY
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223E0200X
- Licence states on file
- GA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia