Jeong Eun Park, DMD in Manchester, NH - Medicare Dentist Provider

Jeong Eun Park, DMD is a medicare enrolled "Dentist" provider in Manchester, New Hampshire. Her current practice location is 1111 S. Willow St., Gentle Dental, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 210-4416.

Jeong Eun Park is licensed to practice in New Hampshire (license number 04131) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710396361.

Contact Information

	Jeong Eun Park, DMD
	1111 S. Willow St., Gentle Dental, Manchester, NH 03103-0310
	(603) 210-4416
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeong Eun Park
Gender	Female
Speciality	Dentist
Location	1111 S. Willow St., Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710396361
Provider Enumeration Date: 08/07/2014
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 3870871080
Enrollment ID: I20161022000122

Medical Identifiers

Medical identifiers for Jeong Eun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710396361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	1000983-15 (Wisconsin)	Secondary
122300000X	Dentist	04131 (New Hampshire)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeong Eun Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jeong Eun Park, DMD 1111 South Willow St., Gentle Dental, Manchester, NH 03103-1111 Ph: (603) 210-4416	Jeong Eun Park, DMD 1111 S. Willow St., Gentle Dental, Manchester, NH 03103-0310 Ph: (603) 210-4416

Reviews and Comments

Dentist in Manchester, NH

Marina E Becker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 60 Rogers Street, Suite # 1a, Manchester, NH 03103 Phone: 603-669-3680 Fax: 603-668-8310
Dr. Mary Elizabeth Pierce, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-663-6226
Thomas Norton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Elm St, Manchester, NH 03101 Phone: 603-556-4584
Anushree Tiwari, Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 Elm St, Manchester, NH 03101 Phone: 603-760-6000 Fax: 603-760-6001
Michael Raymond Hamel, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 321 Lincoln St., Suite 203, Manchester, NH 03103 Phone: 603-668-3202 Fax: 603-626-7380
Dr. Sogole Sibyl Moin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 765 S Main St, Suite 302, Manchester, NH 03102 Phone: 603-669-4503
Dr. Manjari Pamulapati, DMD Dentist Medicare: Medicare Enrolled Practice Location: 8 Vinton St, Manchester, NH 03103 Phone: 603-627-8800 Fax: 603-627-8801

Jeong Eun Park, DMD - Medicare Dentist in Manchester, NH