Individual provider · Type 1 NPI

Jake Sangchul Park, D.D.S

Periodontics · Boston, MA

NPI number 1891073680 Active

Practice location

1 Kneeland St, Tufts Dental. Department Of Periodontology
Boston, MA 02111

Call (617) 292-4366 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN1855799 (MA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1891073680

Jake Sangchul Park, D.D.S's National Provider Identifier is 1891073680, issued on Jul 27, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boston, MA. The record was last updated on Aug 7, 2018.