Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAEHAN PARK, DDS
Active Sole ProprietorDR. JAEHAN PARK, DDS is a Dentist healthcare provider located in NEW HAVEN, Connecticut. NPI 1265151567 is currently active in the NPPES registry. Verify at CMS.
Dentist · NEW HAVEN, CT
Registration Details
- NPI Number
- 1265151567
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2022 (3.949149949558 yrs)
- Last Updated
- Aug 25, 2022
- License
-
13552 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 AMITY RDNEW HAVEN, CT, 065151405Browse CT providers · Browse ZIP 06515
- Phone
- 4044035321
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| JENNIFER Y YOU | D.M.D. | 1760409106 |
| DR. ANTHONY THOMAS DIOGUARDI | D.M.D. | 1407870231 |
| TAM H LE | DMD | 1578675484 |
| MARIA C JIMENEZ | DDS | 1437248770 |
| DR. STEPHEN CARL MALINCONICO | DMD | 1265517015 |
| GERALD D ALEXANDER | D.M.D. | 1427171263 |
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.