Search › Massachusetts › 1223G0001X
Jaeseong Park, DMD
NPI 1528682929 · on the registry since 2020 · sole proprietor
Practice
- Address
- 800 Boston Rd
Springfield, MA 01119 - Phone
- (413) 796-4700
- Organisation at this address
- Springfield Family Dental
Springfield Family Dental PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts