Jun Hwan Park, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001735 Issued in WI

Practice address

6100 Washington Ave Ste F2
Mt Pleasant, WI 53406-4000

Phone

(262) 999-9998

NPI assigned

Nov 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Experts, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1962673954
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1427822147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 TALLGRASS LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WASHINGTON AVE STE F2",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534064000",
            "telephone_number": "262-999-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUN HWAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001735",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivasa R. Pamulapati, MD.
• Chloe Pancake-Garst, DC
• Sachin H. Panchal, M.D.
• Paramount Pediatric Dentistry of Racine
• Jong Park
• Falguni Patel, RN
• Fatima Bushra Patel, DO
• Janki Natu Patel, D.O.
• Kinjal Patel
• Mitali A Patel, DPT

• General Practice Dentistry in Mount Pleasant, WI
• Providers in Mount Pleasant, 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 Mar 8, 2026; 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.