Individual provider · Type 1 NPI

Jessica Park

Dentist · Waitsfield, VT

NPI number 1790479376 Active

Practice location

138 Fiddlers Grn
Waitsfield, VT 05673-6285

Mailing address

PO Box 40
Hinesburg, VT 05461-0040

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X016.0134196 (VT)

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 1790479376

Jessica Park's National Provider Identifier is 1790479376, issued on Jun 6, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Waitsfield, VT. The record was last updated on Oct 13, 2025.