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

Dr. Jake Sangchul Park, DDS

Individual provider Periodontics · NPI 1891073680

Dr. Jake Sangchul Park, DDS is a Periodontics in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
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

1 Kneeland St Tufts Dental Dept OF Periodontology
Boston, MA 02111
Phone: (617) 292-4366
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN1855799 (MA)

Record details

NPI number1891073680
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESAugust 7, 2018
Mailing address1 Kneeland St, Tufts Dental. Department Of Periodontology, Boston, MA 02111-1527

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