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

Dr. Jaehan Park, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265151567

Dr. Jaehan Park, DDS is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2022
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

122 Amity Rd
New Haven, CT 06515-1405
Phone: (404) 403-5321
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13552 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265151567
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 23, 2022

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