Active NPIIndividual providerSole proprietor

Joo Hyoung Park

Dentist, Pediatric Dentistry in Mountain Lakes, New Jersey

NPI Number1659749612
Practice location
333 Route 46 Ste 2-7A, Mountain Lakes, NJ 07046-1743
Fax
—
Last updated
September 22, 2026

Joo Hyoung Park is a Dentist, Pediatric Dentistry based in Mountain Lakes, NJ. Joo Hyoung Park practices in Mountain Lakes, NJ. The NPI Number for Joo Hyoung Park is 1659749612 and holds a License No. 061725 (NY). The current practice location address for Joo Hyoung Park is 333 Route 46 Ste 2-7A, Mountain Lakes, NJ 07046-1743 and can be reached out via phone at 862-286-8895.

Provider Profile Details

NPI Number
1659749612
Provider Name
Joo Hyoung Park
Provider Entity Type
Individual
Gender
Male
Address
333 Route 46 Ste 2-7A, Mountain Lakes, NJ 07046-1743
Phone Number
862-286-8895
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2015
Last Update Date
September 22, 2026
Certification Date
September 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
333 Route 46 Ste 2-7A
Mountain Lakes, NJ 07046-1743
Zip
07046-1743
Phone Number
862-286-8895
Mountain Lakes, NJ 07046Get directions →

Provider Business Mailing Address Details

Address
333 Route 46 Ste 2-7A
Mountain Lakes, NJ 07046-1743
City
Mountain Lakes
State
NJ
Zip
07046-1743
Phone Number
862-286-8895
Fax Number
862-286-8893

License Information

License Number (1)
061725
License State (1)
NY
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (2)
22DI02955500
License State (2)
NJ
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joo Hyoung Park?

The NPI number of Joo Hyoung Park is 1659749612. It was assigned on September 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Joo Hyoung Park?

Joo Hyoung Park is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 061725.

Where does Joo Hyoung Park practice?

The practice location is 333 Route 46 Ste 2-7A, Mountain Lakes, NJ 07046-1743. The office can be reached at 862-286-8895 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659749612 directly on the NPPES registry website.

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