Individual provider · Type 1 NPI

Jae Hyun Park, DMD, PhD

Orthodontics and Dentofacial Orthopedics Dentistry · Phoenix, AZ

NPI number 1811065238 Active

Practice location

3155 W Indian School Rd, Western Dental Orthodontic Office
Phoenix, AZ 85017-4035

Call (480) 286-0455 Map

Mailing address

5519 E Beryl Ave
Paradise Valley, AZ 85253-1165

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X7019 (AZ)

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 1811065238

Jae Hyun Park, DMD, PhD's National Provider Identifier is 1811065238, issued on Dec 1, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.