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Provider Profile

Jake S. Park, D.D.S

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At a glance

About Dr. Park

Based in Boston, MA, Jake S. Park, D.D.S is listed in the NPI registry under periodontics. NPI 1891073680 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Periodontics (Primary)

Credentials & Licensing

MA licenceAs reported to the NPI registry
No. DN1855799As reported
NPINational Provider Identifier
1891073680Issued 2011

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jake S. Park specialize in?

Jake S. Park is a periodontics in Boston, MA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jake S. Park located?

Jake S. Park is listed at 1 Kneeland St Tufts Dental. Department of Periodontology, Boston, MA 02111. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jake S. Park's phone number?

The number on file is (617) 292-4366. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jake S. Park's NPI number?

Jake S. Park's National Provider Identifier is 1891073680. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jake S. Park been practicing?

Jake S. Park has 15+ years experience. Registered with an NPI since 2011. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jake S. Park confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jake S. Park. If this is you, claiming it is free.

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