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

Jae H Park

Individual provider Dentist · NPI 1386110781

Jae H Park is a Dentist in Quantico, Virginia. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018

Practice location Address checks out

3259 Catlin Ave
Quantico, VA 22134-5109
Phone: (757) 953-9000
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401416211 (VA)

Record details

NPI number1386110781
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2018
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address2701 Neabsco Common Pl Apt 519, Woodbridge, VA 22191-6717

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