Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAE W PARK, DDS
ActiveDR. JAE W PARK, DDS is a Dentist healthcare provider located in CHRISTIANSBURG, Virginia. NPI 1144232968 is currently active in the NPPES registry. Verify at CMS.
Dentist · CHRISTIANSBURG, VA
Registration Details
- NPI Number
- 1144232968
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2006 (20.03386569624 yrs)
- Last Updated
- Jun 1, 2015
- License
-
0401414774 (VA)
Practice Information
- Address
-
114 N FRANKLIN STCHRISTIANSBURG, VA, 240732953Browse VA providers · Browse ZIP 24073
- Phone
- 5403826108
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CHRISTIANSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DR. SHARLENE DARCY AMACHER | DDS | 1912920349 |
| RAYMOND F MUNZ | D.D.S. | 1588746093 |
| MRS. CATHERINE JEAN MANSDOERFER | D.D.S. | 1851771752 |
| JIWON KIM | DDS | 1326566639 |
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.