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

Jaeseong Park, DMD

Individual provider Dentist · NPI 1528682929

Jaeseong Park, DMD is a Dentist in Springfield, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
Specialties on file
2
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

800 Boston Rd
Springfield, MA 01119-1352
Phone: (413) 796-4700
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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 DN1858987 (MA)
Dentist Taxonomy 122300000X · Licence DN1858987 (MA)

Record details

NPI number1528682929
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 1, 2020
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021

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