DR. JAEYOUN PARK DDS
NPI 1679252647
Dentist - General Practice in Cleveland, TN

Q: What is Jaeyoun Park's NPI number?

The NPI number for Jaeyoun Park is 1679252647. It was assigned to this individual provider in the NPPES registry on July 17, 2023. The provider is also known as Dr. Jay Park Dds.

Q: What is Jaeyoun Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaeyoun Park was last updated on July 17, 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.

Active since July 17, 2023

609 PAUL HUFF PKWY NW, CLEVELAND, TN 37312(318) 233-6077 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jaeyoun Park Dds NPPES

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

DR. JAEYOUN PARK DDS (NPI 1679252647) is an individual general practice provider in Cleveland, Tennessee, licensed in Tennessee (12232) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1679252647

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAEYOUN PARKCredential: DDS

Location Address609 PAUL HUFF PKWY NWCleveland, TN 37312-2970

Mailing Address7219 Aventine Way Apt 303Chattanooga, TN 37421-4180

Phone(318) 233-6077

Sole ProprietorNo

Enumeration DateJuly 17, 2023

NPPES CertifiedJuly 15, 2023

✔ NPI 1679252647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 12232

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.

609 PAUL HUFF PKWY NW, Cleveland, TN 37312

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Other Names 1

Other Name (5)Dr. Jay Park Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

JAMIE TROTT

Dentist

609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312

Bradley County (423) 665-4100

TENNESSEE DENTAL PROFESSIONALS, PC

Dentist (General Practice)

609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312

Bradley County (423) 244-0783

LAUREN GABRIELLE ALFONSO SANTOS DDS

Dentist

609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312

Bradley County (423) 244-0783

JONATHAN SEARD

Dentist

609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312

Bradley County (423) 665-4100

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 Jaeyoun Park's NPI number?

The NPI number for Jaeyoun Park is 1679252647. It was assigned to this individual provider in the NPPES registry on July 17, 2023. The provider is also known as Dr. Jay Park Dds.

Where is Jaeyoun Park located?

Jaeyoun Park practices at 609 Paul Huff Pkwy NW, Cleveland, TN 37312. The listed phone number is (318) 233-6077.

What is Jaeyoun Park's specialty?

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

What insurance does Jaeyoun Park accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 12 other insurers list Jaeyoun 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 Jaeyoun Park was last updated on July 17, 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.