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PARK FAMILY DENTAL LLC
NPI 1720791817
Clinic/Center - Dental in South Milwaukee, WI

Active since January 04, 2023
1001 MADISON AVE, SOUTH MILWAUKEE, WI 53172(414) 203-9664 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Family Dental Llc NPPES

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

PARK FAMILY DENTAL LLC (NPI 1720791817) is a healthcare organization registered as a dental in South Milwaukee, Wisconsin and active in the NPI registry since January 2023. The organization lists Joon Jae Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1720791817
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePARK FAMILY DENTAL LLC
Location Address1001 MADISON AVESouth Milwaukee, WI 53172-2500
Mailing AddressW201n5244 Sandpiper LnMenomonee Falls, WI 53051-6209 · (262) 720-4669
Phone(414) 203-9664
Organization SubpartNo
Authorized OfficialJoon Jae ParkOwner · (262) 720-4669
Enumeration DateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1720791817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1001 MADISON AVE, South Milwaukee, WI 53172
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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.

KAITLIN ANNE JASPER DDS
Dentist (General Practice)
1001 MADISON AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 764-6760
DR. JERRY PAUL STERN OD
Optometrist
1001 MADISON AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 764-3260
DR. MICHAEL FRANCIS MARTIN DDS
Dentist
1001 MADISON AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 764-6760
DR. JANE KNIGHT MARTIN DDS
Dentist
1001 MADISON AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 764-6760

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 Park Family Dental LLC's NPI number?

The NPI number for Park Family Dental LLC is 1720791817. It was assigned to this organization in the NPPES registry on January 4, 2023.

Where is Park Family Dental LLC located?

Park Family Dental LLC is located at 1001 Madison Ave, South Milwaukee, WI 53172. The listed phone number is (414) 203-9664.

What is Park Family Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Park Family Dental LLC was last updated on January 4, 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.