Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Park DMD PLC

Organization General Practice Dentistry · NPI 1174414320

Jenna Park DMD PLC is a General Practice Dentistry in Tucson, Arizona. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6303 E Broadway Blvd Ste 101
Tucson, AZ 85710-3547
Phone: (520) 276-1654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1174414320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Barber — Provider Enrollment Manager · (315) 454-6000
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing addressPo Box 70887, Cleveland, OH 44190-0887

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