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

Dr. Jenna J Park, DMD

Individual provider General Practice Dentistry · NPI 1356912448

Dr. Jenna J Park, DMD is a General Practice Dentistry in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7701 E Broadway Blvd
Tucson, AZ 85710-3941
Phone: (520) 917-2045
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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 D011095 (AZ)

Record details

NPI number1356912448
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

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