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

PARK DENTISTRY LLC
NPI 1902566003
Dentist - General Practice in West Allis, WI

Active since December 30, 2021
1947 S 60TH ST, WEST ALLIS, WI 53219(414) 545-6747(414) 545-2488 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Dentistry Llc NPPES

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

PARK DENTISTRY LLC (NPI 1902566003), doing business as Gentle Smiles Dentistry, is a healthcare organization registered as a general practice in West Allis, Wisconsin and active in the NPI registry since December 2021. The organization lists Joon Jae Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1902566003
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePARK DENTISTRY LLC
Location Address1947 S 60TH STWest Allis, WI 53219-1552
Mailing Address1947 S 60th StWest Allis, WI 53219-1552 · (414) 545-6747 · Fax (414) 545-2488
Phone(414) 545-6747
Fax(414) 545-2488
Organization SubpartNo
Authorized OfficialJoon Jae ParkOwner · (414) 545-6747
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1902566003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1947 S 60TH ST, West Allis, WI 53219
Open in Google Maps ↗

Other Names 1

Doing Business AsGentle Smiles Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

WILLIAM WONG DDS
Dentist (General Practice)
1947 S 60TH ST
WEST ALLIS, WI 53219
Milwaukee County (414) 545-6747
DR. WILLIAM G. WONG & ASSOCIATES SC
Dentist (General Practice)
1947 S 60TH ST
WEST ALLIS, WI 53219
Milwaukee County (414) 545-6747

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 Dentistry LLC's NPI number?

The NPI number for Park Dentistry LLC is 1902566003. It was assigned to this organization in the NPPES registry on December 30, 2021. The provider is doing business as Gentle Smiles Dentistry.

Where is Park Dentistry LLC located?

Park Dentistry LLC is located at 1947 S 60th St, West Allis, WI 53219. The listed phone number is (414) 545-6747.

What is Park Dentistry LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Park Dentistry LLC was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.