Individual provider · Type 1 NPI

Jeong Eun Park, DMD

Dentist · West Lebanon, NH

NPI number 1710396361 Active

Practice location

30 Airport Rd Ste 3
West Lebanon, NH 03784-1664

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X1000983-15 (WI)
Dentist Primary 122300000X04131 (NH)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1710396361

Jeong Eun Park, DMD's National Provider Identifier is 1710396361, issued on Aug 7, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in West Lebanon, NH. The record was last updated on Jan 21, 2026.