DR. JAE HYUN PARK


Address: 3155 W Indian School Rd, Western Dental Orthodontic Office, Phoenix, AZ 85017-4035
Phone: 4802860455

DR. JAE HYUN PARK (NPI# 1811065238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811065238
Entity Type Individual
Full Name DR. JAE HYUN PARK
Credential DMD, PHD
Practice Address 3155 W Indian School Rd
Western Dental Orthodontic Office
Phoenix
AZ 85017-4035
Mailing Address 5519 E Beryl Ave
Paradise Valley
AZ 85253-1165
Practice Telephone 4802860455
Mailing Telephone 4802860455
Enumeration Date 2006-12-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
7019 AZ Dental Providers

Other Providers JAE PARK

NPI Name Taxonomy Address Enumeration
1386110781 Jae H Park Dentist 1637 Admiral Taussig Blvd, Norfolk, VA 23511-2803 2018-10-23
1720506314 Jae Y Park Registered Nurse 1103 10th St Nw, Rochester, MN 55901-1756 2017-09-02
1861649881 Jae Hyun Park Acupuncturist 3020 Wilshire Blvd Ste 222, Los Angeles, CA 90010 2008-08-20
1700977543 Jae Ho Park Dentist 3123 W Olympic Blvd, Los Angeles, CA 90006-2462 2006-09-27
1144329723 Jae H Park Chiropractor 4840 Irvine Blvd, #203, Irvine, CA 92620-1962 2006-09-21
1780621805 Jae O Park Internal Medicine 14455 Sw Allen Blvd, Suite 101, Beaverton, OR 97005-4428 2006-05-31
1699750182 Jae Y Park Pharmacist 3307 W Pico Bl, Los Angeles, CA 90019-4530 2005-12-07
1285109504 Jae Park Acupuncturist 320 Ward Ave Ste 205, Honolulu, HI 96814-4017 2018-10-12
1336649573 Jae Hong Park Dentist 1400 Pelham Pkwy S, Bronx, NY 10461-1138 2018-02-14
1750819652 Jae Ho Park Sr. Pharmacist 254 N Western Ave, Los Angeles, CA 90004-4108 2017-05-23

Office Location

Street Address 3155 W INDIAN SCHOOL RD
WESTERN DENTAL ORTHODONTIC OFFICE
City PHOENIX
State AZ
Zip Code 85017-4035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194106260 Deandrea Nicole Bell Dentist 3155 W Indian School Rd, Phoenix, AZ 85017-4035 2015-06-15
1902014863 Shannonj Lee Fenton Dentist 3155 W Indian School Rd, Phoenix, AZ 85017-4035 2007-05-21
1467598417 Western Dental of Arizona, Inc. Dentist 3155 W Indian School Rd, Phoenix, AZ 85017-4035 2007-01-29
1134289465 Stephen L Kim Dentist 3155 W Indian School Rd, Phoenix, AZ 85017-4035 2006-12-08
1578622387 Thanh Vien Du Dentist 3155 W Indian School Rd, Phoenix, AZ 85017-4035 2006-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169282 Deborah Carter Specialist/Technologist 5346 N. 29th Ave., Phoenix, AZ 85017 2020-09-17
1730671207 Michael Carl Smith Assisted Living Facility 5736 N 33rd Ave, Phoenix, AZ 85017 2018-05-31
1457860561 Bianca Yvonne Lopez Psychiatry & Neurology 3001 N. 33rd Ave, Phoenix, AZ 85017 2017-09-21
1295259281 Happy Home Care Home Health 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 2017-08-01
1851848493 Horeb Transportation LLC Non-emergency Medical Transport (VAN) 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 2016-09-01
1932565942 Urgent Pain, LLC Contractor 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 2016-01-06
1457766172 Lindsay Allison Love Social Worker 3306 W. Catalina Dr., Phoenix, AZ 85017 2014-06-23
1437592433 Maya Medical Services Clinic/Center 2908 W. Camelback Rd., Phoenix, AZ 85017 2013-04-10
1801089685 Jonnie Arnold Counselor 3400 Grand Ave, Phoenix, AZ 85017 2007-08-24
1851414890 Corpus Christi Home Care and Hospice LLC Hospice Care, Community Based 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 2007-04-06
Find all providers in zip 85017

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558924415 Ahwatukee Orthodontic Associates Inc Dentist 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 2019-04-17
1538636766 David Hoffman Phoenix Orthodontics PC Dentist 5225 N 19th Ave Ste 8, Phoenix, AZ 85015-2903 2018-10-25
1881169233 Smile Straight Orthodontics - Greenway LLC Dentist 3229 E Greenway Rd Ste 101, Phoenix, AZ 85032-4508 2018-10-11
1336656024 Andrew Philip Serrano Dentist 1515 E Missouri Ave Ste 101, Phoenix, AZ 85014-2443 2018-01-04
1659829299 The Smyl Co Dentist 10 W Adams St, Phoenix, AZ 85003-2025 2016-09-12
1932537131 Jenny Sun Dentist 3425 W Thunderbird Rd, Suite 1, Phoenix, AZ 85053-5670 2013-10-24
1053753228 North Valley Orthodontics Pllc Dentist 21050 N Tatum Blvd Ste D202, Phoenix, AZ 85050-4260 2013-07-29
1679823264 Hemali Kothari Dentist 124 W Thomas Rd Ste 320, Phoenix, AZ 85013-4415 2012-09-12
1861720302 Mark Kenneth Mcalister Dentist 702 East Bell Road, #100, Phoenix, AZ 85022 2009-11-20
1841434461 Daniel S Blue Dentist 224 West San Juan Avenue, Phoenix, AZ 85013 2009-04-27
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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