Lena Park, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN123892 Issued in GA

Practice address

1046 Braselton Village Pkwy
Braselton, GA 30517-2643

Phone

(706) 954-5161

NPI assigned

Sep 10, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1578444162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 AUBURN CROSSING DR",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300115517",
            "telephone_number": "480-327-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 BRASELTON VILLAGE PKWY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305172643",
            "telephone_number": "706-954-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "LENA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30544",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelina Paduraru, MS, RD, LD
• Joel Nathaniel Palmer, D.O.
• Jun Pan, LMT
• Stuti Parikh, M.D.
• Han Sol Park, DO
• Kathryn Elise Parris, M.D.
• James Keelan Passmore, MD
• Ankit Arvindbhai Patel, MD
• Champak Patel, MD
• Kalpit Patel, M.D.

• Dentist in Braselton, GA
• Providers in Braselton, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.