JAE HONG PARK DENTAL, P.C.
NPI 1609559491
Dentist - Pediatric Dentistry in Glen Cove, NY

Active since August 09, 2023
71 SCHOOL ST # 1010, GLEN COVE, NY 11542(347) 509-4084 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jae Hong Park Dental, P.c. NPPES

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

JAE HONG PARK DENTAL, P.C. (NPI 1609559491) is a healthcare organization registered as a pediatric dentistry in Glen Cove, New York and active in the NPI registry since August 2023. The organization lists Jae Hong Park, President, as its authorized official.

NPPES Registry Identity

NPI1609559491
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJAE HONG PARK DENTAL, P.C.
Location Address71 SCHOOL ST # 1010Glen Cove, NY 11542-2511
Mailing Address184 Kent Ave Apt A304Brooklyn, NY 11249-3176 · (929) 888-5010
Organization SubpartNo
Authorized OfficialJae Hong ParkPresident · (929) 888-5010
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
NPI 1609559491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
71 SCHOOL ST # 1010, Glen Cove, NY 11542

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jae Hong Park Dental, P.C.'s NPI number?

The NPI number for Jae Hong Park Dental, P.C. is 1609559491. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Jae Hong Park Dental, P.C. located?

Jae Hong Park Dental, P.C. is located at 71 School St # 1010, Glen Cove, NY 11542. The listed phone number is (347) 509-4084.

What is Jae Hong Park Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jae Hong Park Dental, P.C. was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.