Individual provider · Type 1 NPI

Jin Park

Oral and Maxillofacial Surgery (Dentist) · Salem, OR

NPI number 1801246715 Active

Practice location

250 Church St SE Ste 102
Salem, OR 97301-3758

Other practice locations

  • 1 Medical Center Dr, Morgantown, WV 26506-1200 · (304) 293-2841
  • 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542-6877 · (254) 870-9209
  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 · (719) 918-3419

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD12135 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4 other providers at this address

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About NPI 1801246715

Jin Park's National Provider Identifier is 1801246715, issued on Jun 21, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Salem, OR. The record was last updated on Jul 14, 2026.