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

Individual provider Dentist · NPI 1043101074

Jae Min Park, DDS is a Dentist in Waterville, Maine. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025
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

185 Main St
Waterville, ME 04901-6625
Phone: (833) 201-0170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN10000826 (MA)

Record details

NPI number1043101074
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 9, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address3203-300 Front Street West, Toronto, 509

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