DR. JAE HYUN PARK DMD, PHD
NPI 1811065238
Dentist - Orthodontics and Dentofacial Orthopedics in Phoenix, AZ

Active since December 01, 2006
3155 W INDIAN SCHOOL RD, WESTERN DENTAL ORTHODONTIC OFFICE, PHOENIX, AZ 85017(480) 286-0455 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jae Hyun Park Dmd, Phd NPPES

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

DR. JAE HYUN PARK DMD, PHD (NPI 1811065238) is an individual orthodontics and dentofacial orthopedics provider in Phoenix, Arizona, licensed in Arizona (7019) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1811065238
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JAE HYUN PARKCredential: DMD, PHD
Location Address3155 W INDIAN SCHOOL RD, WESTERN DENTAL ORTHODONTIC OFFICEPhoenix, AZ 85017-4035
Mailing Address5519 E Beryl AveParadise Valley, AZ 85253-1165 · (480) 286-0455
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1811065238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in AZ · 7019
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.
3155 W INDIAN SCHOOL RD, Phoenix, AZ 85017

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist
3155 W INDIAN SCHOOL RD
PHOENIX, AZ 85017
Dentist
3155 W INDIAN SCHOOL RD
PHOENIX, AZ 85017
Dentist
3155 W INDIAN SCHOOL RD
PHOENIX, AZ 85017
Dentist (General Practice)
3155 W INDIAN SCHOOL RD
PHOENIX, AZ 85017
Dentist (General Practice)
3155 W INDIAN SCHOOL RD
PHOENIX, AZ 85017
Dentist (Orthodontics and Dentofacial Orthopedics)
3155 W INDIAN SCHOOL RD
PHOENIX, AZ 85017

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 Park's NPI number?

The NPI number for Jae Park is 1811065238. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Jae Park located?

Jae Park practices at 3155 W Indian School Rd Western Dental Orthodontic Office, Phoenix, AZ 85017. The listed phone number is (480) 286-0455.

What is Jae Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Jae Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona and 4 other insurers list 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 Jae Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.