Individual provider · Type 1 NPI

Jae Hong Park, DMD

Pediatric Dentistry · Bronx, NY

NPI number 1336649573 Active

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Call (214) 228-7043 Map

Mailing address

1400 Pelham Pkwy S Bldg 1
Bronx, NY 10461-1119

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X061100 (NY)

Pediatric Dentistry: 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.

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About NPI 1336649573

Jae Hong Park, DMD's National Provider Identifier is 1336649573, issued on Feb 14, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bronx, NY. The record was last updated on Sep 5, 2023.