Search › Tennessee › 1223G0001X
Jaeyoun Park, DDS
NPI 1679252647 · on the registry since 2023
Practice
- Address
- 609 Paul Huff Pkwy Nw
Cleveland, TN 37312 - Phone
- (318) 233-6077
- Organisation at this address
- Tennessee Dental Professionals, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee