| Dr Jake Sangchul Park, DDS | |
|
1 Kneeland St, Tufts Dental. Department Of Periodontology, Boston, MA 02111 | |
| (617) 292-4366 | |
| Not Available |
| Full Name | Dr Jake Sangchul Park |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 1 Kneeland St, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891073680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN1855799 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jake Sangchul Park, DDS 1 Kneeland St, Tufts Dental. Department Of Periodontology, Boston, MA 02111-1527 Ph: (617) 292-4366 | Dr Jake Sangchul Park, DDS 1 Kneeland St, Tufts Dental. Department Of Periodontology, Boston, MA 02111 Ph: (617) 292-4366 |
Dr. Rocio Saavedra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kneeland St, Boston, MA 02111 Phone: 617-636-6971 | |
Richard Niederman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 140 Fenway, Boston, MA 02115 Phone: 617-892-8374 Fax: 617-262-4021 | |
Armida Dano, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Tremont St, Boston, MA 02118 Phone: 617-424-0606 | |
Daimery Heinstein, Dentist Medicare: Medicare Enrolled Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 | |
Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426 | |
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923 | |
Dr. Richard Rothstein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 |