Jamie Y. Park, D.D.S

General Practice Dentistry · Niles, IL

Individual Active NPI

NPI number 1073502035

Practice location

8622 W Golf Rd
Niles, IL 60714-5600
Phone
(847) 299-5990
Fax
(847) 299-5998

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NPI record

NPI
1073502035
Entity type
Individual (Type 1)
Enumeration date
October 20, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Park

Jamie Y. Park, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8622 W Golf Rd, Niles, IL 60714-5600. The NPI number 1073502035 was assigned on October 20, 2005 and the record was last updated on July 13, 2026.

Frequently asked questions

What is the NPI number of Jamie Y. Park, D.D.S?

The NPI number is 1073502035.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (847) 299-5990.

Where is Dr. Park located?

8622 W Golf Rd, Niles, IL 60714-5600.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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