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

Dong Jin Park

Individual provider Dentist · NPI 1174888622

Dong Jin Park is a Dentist in Meriden, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
Specialties on file
2

Practice location Address checks out

490 S Broad St
Meriden, CT 06450
Phone: (203) 237-1000
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 010794 (CT)
Dentist Taxonomy 122300000X · Licence 010794 (CT)

Record details

NPI number1174888622
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESSeptember 26, 2013
Mailing address490 S Broad St, Meriden, CT 06450

Other providers in Meriden