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Jun Hwan Park, DMD

NPI 1427822147ActiveIndividual· Dentist, General Practice· Mt Pleasant, WI

Dentist, General Practice (DMD) in Mt Pleasant, Wisconsin, licensed in WI and IL, with an NPI issued in November 2023.

Overview

NPI1427822147
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedNov 13, 2023
Last updated in NPPESMar 8, 2026
Certified by providerMar 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X6001735WI
Dentist, General Practice1223G0001X019.034663IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Mt Pleasant

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