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Jae Min Park, DDS
NPI 1043101074 · Dentist · Waterville, ME
Jae Min Park, DDS is a Dentist provider in Waterville, ME (NPI 1043101074).
Provider details
- NPI number
- 1043101074
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN10000826 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
185 Main St
Waterville, ME 04901-6625
Phone: (833) 201-0170
Street-level locationGet directions
Mailing address
3203-300 Front Street West
Toronto, ONTARIO 509
Registry dates
- Enumerated
- 2025-07-09
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Jae Min Park's NPI number?
- Jae Min Park's National Provider Identifier (NPI) is 1043101074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jae Min Park's specialty?
- Jae Min Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jae Min Park located?
- Jae Min Park's practice location on file with NPPES is 185 Main St, Waterville, ME 04901-6625.
- What is Jae Min Park's phone number?
- The practice phone number listed in the NPPES registry for Jae Min Park is (833) 201-0170.
- Is Jae Min Park's NPI active?
- Yes — Jae Min Park's NPI (1043101074) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.