Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAESEONG PARK, DMD
Active Sole ProprietorJAESEONG PARK, DMD is a General Dentistry healthcare provider located in SPRINGFIELD, Massachusetts. NPI 1528682929 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SPRINGFIELD, MA
Registration Details
- NPI Number
- 1528682929
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2020 (6.0209235853433 yrs)
- Last Updated
- Jul 19, 2021
- Licenses
-
DN1858987 (MA)DN1858987 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 BOSTON RDSPRINGFIELD, MA, 011191352Browse MA providers · Browse ZIP 01119
- Phone
- 4137964700
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in SPRINGFIELD, MA
| Name | Credential | NPI |
|---|---|---|
| SONNY KHANNA | DMD | 1306830971 |
| DR. PETER ANTONOPOULOS | D.M.D. | 1003805441 |
| DR. CYNTHIA MARY FOX | DMD | 1093784613 |
| SAI L KADIYALA | DMD | 1982664173 |
| DR. KEVIN COUGHLIN | DMD | 1801846324 |
| DR. BART CIOCCIA | D.D.S. | 1629021894 |
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.