Individual provider · Type 1 NPI

Jae Hee Park

Orthodontics and Dentofacial Orthopedics Dentistry · Alexandria, MN

NPI number 1669303574 Active

Practice location

510 22nd Ave E Ste 401
Alexandria, MN 56308-4815

Mailing address

322 Robledo St
Las Vegas, NV 89138-6400

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD15429 (MN)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1669303574

Jae Hee Park's National Provider Identifier is 1669303574, issued on May 28, 2026. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Alexandria, MN. The record was last updated on May 28, 2026.