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

Dr. Jaclyn J Park, DDS

Individual provider General Practice Dentistry · NPI 1588785521

Dr. Jaclyn J Park, DDS practises General Practice Dentistry in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

115 E 57th St SUITE#1520
New York, NY 10022-2049 Not confirmed with CMS for 17 years — call before visiting
Phone: (212) 759-7303
Fax: (212) 750-8929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 043731 (NY)

Record details

NPI number1588785521
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 4, 2009

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