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NPI · 1679252647 · NPPES-sourced

Dr. Jaeyoun Park DDS

ActiveGeneral Practice Dentistry
NPI Number
1679252647
Type 1 · Individual
Taxonomy Code
1223G0001X
Contact
(318) 233-6077
License TN · 12232
Last Updated
Enumerated
Primary practice addressTN · 37312-2970
609 Paul Huff Pkwy NwCleveland, TN 37312-2970
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Also known as

  • Also known asPark, Jay

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1679252647 is registered to Dr. Jaeyoun Park DDS, a General Practice Dentistry practising at 609 Paul Huff Pkwy Nw in Cleveland, Tennessee. General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jaeyoun Park DDS has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jaeyoun Park DDS accepts. To confirm in-network status with your specific health plan, contact Dr. Jaeyoun Park DDS directly at (318) 233-6077.

Frequently asked

Yes. NPI 1679252647 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (318) 233-6077.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jaeyoun Park DDS is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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