Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427822147 Individual Practitioner Male Practitioner

Dr. Jun Hwan Park , DMD

Dentist - General Practice • Mt Pleasant, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jun Hwan Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mt Pleasant, WI. Practice services are available at 6100 WASHINGTON AVE STE F2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6100 Washington Ave Ste F2

Mt Pleasant, WI 534064000

Telephone 2629999998
Associated Practice Facility / Clinic
🏢 Mynt Dental Racine Llc Facility NPI 1235628454

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mt Pleasant, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Mt Pleasant, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 6001735

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019.034663

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1053939298

Doctor of Dental Medicine

Dr. Inna Sokolov , DMD

Dentist - General Practice

NPI 1235781956

Doctor of Dental Medicine

Dr. Heinery Arevalo , DMD

Dentist - General Practice

NPI 1295465565

Doctor of Dental Medicine

NPI 1326724394

Doctor of Dental Surgery

NPI 1467013037

Doctor of Dental Medicine

NPI 1467680504

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 08, 2026

Registered at 6100 WASHINGTON AVE STE F2, MT PLEASANT, WI 534064000 (Tel: 2629999998)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2026

Dentist (License #6001735 in WI)

NPI Profile Active November 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2023

Registered at 4039 W NORTH AVE, CHICAGO, IL 606395219 (Tel: 7737824800)

📍
Updated Business Mailing Address November 13, 2023

Registered at 1765 TALLGRASS LN, LAKE FOREST, IL 600454858

👤
Provider Name / Credentials Updated November 13, 2023

Recorded as JUN HWAN PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2023

Dentist (License #019.034663 in IL)

🟢
Initial NPI Registration & Enumeration November 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427822147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2023
Last Update: March 08, 2026
Sole Proprietor: No

Mailing Address

1765 Tallgrass Ln

Lake Forest, IL 600454858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.