Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jae Hyun Park, DMD, PHD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1811065238

Dr. Jae Hyun Park, DMD, PHD is an Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3155 W Indian School Rd Western Dental Orthodontic Ofc
Phoenix, AZ 85017-4035
Phone: (480) 286-0455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 7019 (AZ)

Record details

NPI number1811065238
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , PHD
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESJuly 8, 2007

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