Active NPIIndividual providerSole proprietor

Jihye Park, DDS

Dentist, General Practice in Fort Lee, New Jersey

NPI Number1699047480
Practice location
1567 Palisade Ave Ste 2A, Fort Lee, NJ 07024-6923
Fax
—
Last updated
February 26, 2025

Jihye Park is a Dentist, General Practice based in Fort Lee, NJ. Jihye Park practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for Jihye Park is 1699047480 and holds a License No. 22DI02485600 (NJ). The current practice location address for Jihye Park is 1567 Palisade Ave Ste 2A, Fort Lee, NJ 07024-6923 and can be reached out via phone at 201-568-3424.

Provider Profile Details

NPI Number
1699047480
Provider Name
Jihye Park
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1567 Palisade Ave Ste 2A, Fort Lee, NJ 07024-6923
Phone Number
201-568-3424
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 8, 2012
Last Update Date
February 26, 2025
Certification Date
February 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1567 Palisade Ave Ste 2A
Fort Lee, NJ 07024-6923
Zip
07024-6923
Phone Number
201-568-3424
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
1567 Palisade Ave Ste 2A
Fort Lee, NJ 07024-6923
City
Fort Lee
State
NJ
Zip
07024-6923
Phone Number
201-568-3424

License Information

License Number (1)
22DI02485600
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02485600
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

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

Other Dentist, General Practice providers near Fort Lee, NJ

View all Dentist, General Practice providers in Fort Lee →

Frequently Asked Questions

What is the NPI number of Jihye Park, DDS?

The NPI number of Jihye Park, DDS is 1699047480. It was assigned on February 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Jihye Park, DDS?

Jihye Park, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02485600.

Where does Jihye Park, DDS practice?

The practice location is 1567 Palisade Ave Ste 2A, Fort Lee, NJ 07024-6923. The office can be reached at 201-568-3424 (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 1699047480 directly on the NPPES registry website.

Browse related providers