Sarah Sun Yee Park, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001552 Issued in WI

Practice address

844 Willard Dr Ste a
Green Bay, WI 54304-5265

Phone

(920) 497-1302

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1417799800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WILLARD DR STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WILLARD DR STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045265",
            "telephone_number": "920-497-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SARAH",
        "middle_name": "SUN YEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parc Village Dental, LLC
• Pamela J Pardini, MD
• Yogesh C Pareek, M.D.
• Lisa M Parish, OTR
• Park Place Dental Care
• Russell Parker, PT
• Parkview Manor Healthcare LLC (Parkview Manor Health and Rehabilitation Center)
• Parkview Nursing and Rehab, LLC
• Alishia Parma
• Michael Parman, M.D.

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.