Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAE MIN PARK, DDS
Active Sole ProprietorJAE MIN PARK, DDS is a Dentist healthcare provider located in WATERVILLE, Maine. NPI 1043101074 is currently active in the NPPES registry. Verify at CMS.
Dentist · WATERVILLE, ME
Registration Details
- NPI Number
- 1043101074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2025 (1.1267034498716 yrs)
- Last Updated
- Sep 5, 2025
- License
-
DN10000826 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
185 MAIN STWATERVILLE, ME, 049016625Browse ME providers · Browse ZIP 04901
- Phone
- 8332010170
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WATERVILLE, ME
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID C TYLER | DDS | 1922182591 |
| DR. STEPHEN P KLINKER | D.D.S. | 1730393158 |
| DR. DOUGLAS PETER LALIBERTE | D.M.D. | 1609004449 |
| DR. ANNA VIRGINIA O'KEEFE | DMD | 1558655597 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.