1. Home
  2. Directory
  3. Wisconsin
  4. Muskego
  5. Dentist
  6. NPI Profile

JOON-JAE PARK
NPI 1568817559
Dentist - General Practice in Muskego, WI

Active since April 27, 2016
S63W13660 JANESVILLE RD, MUSKEGO, WI 53150(262) 720-4669 Get Directions Write a Review

NPPES record last updated: July 16, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Joon-jae Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOON-JAE PARK (NPI 1568817559) is an individual general practice provider in Muskego, Wisconsin, licensed in Wisconsin (1001390-15) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1568817559
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOON-JAE PARK
Location AddressS63W13660 JANESVILLE RDMuskego, WI 53150-2713
Mailing Address515 S Grandview BlvdWaukesha, WI 53188-4792
Phone(262) 720-4669
Sole ProprietorNo
Enumeration DateApril 27, 2016
Last NPPES UpdateJuly 16, 2016
✔ NPI 1568817559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 1001390-15
Definition
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.
S63W13660 JANESVILLE RD, Muskego, WI 53150
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL MICHAEL RICHARD REIMER DDS
Dentist (General Practice)
S63W13660 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 425-9393
JONATHON TRASKA DDS
Dentist
S63W13660 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 425-9393
DR. KATHLEEN ELIZABETH CONROY D.D.S.
Dentist (General Practice)
S63W13660 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 425-9393
DR. MARCELO ANDRES ROMERO-SHU
Dentist
S63W13660 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 425-9393
RACHEL BOHN DDS
Dentist
S63W13660 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 425-9393
DR. SAVITA SURYAWANSHI BRENNER DDS
Dentist (General Practice)
S63W13660 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 425-9393
DR. MICHAEL A. SANDOVAL D.D.S.
Dentist
S63W13660 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 425-9393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joon-jae Park's NPI number?

The NPI number for Joon-jae Park is 1568817559. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Joon-jae Park located?

Joon-jae Park practices at S63w13660 Janesville Rd, Muskego, WI 53150. The listed phone number is (262) 720-4669.

What is Joon-jae Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Joon-jae Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Humana list Joon-jae Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joon-jae Park was last updated on July 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.