Healthcare Provider Details

I. General information

NPI: 1033039581
Provider Name (Legal Business Name): PARK DENTAL NEW JERSEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 MILL ST STE 3
PATERSON NJ
07501-1886
US

IV. Provider business mailing address

21 MILL ST STE 3
PATERSON NJ
07501-1886
US

V. Phone/Fax

Practice location:
  • Phone: 973-742-7275
  • Fax: 973-881-8686
Mailing address:
  • Phone: 973-742-7275
  • Fax: 973-881-8686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. YOUNGMAN CHUN
Title or Position: GENERAL DENTIST
Credential: DDS
Phone: 973-742-7275