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

Jessica Park

Individual provider Dentist · NPI 1790479376

Jessica Park is a Dentist in Waitsfield, Vermont. Licensed in Vermont. Registered with an NPI since 2023.

Licensed in
VT
In the registry since
2023

Practice location Address checks out

138 Fiddlers Grn
Waitsfield, VT 05673-6285
Phone: (802) 496-2524
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 016.0134196 (VT)

Record details

NPI number1790479376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing addressPo Box 40, Hinesburg, VT 05461-0040

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