IndividualActive
Jae Park
NPI 1386110781 · Dentist · Quantico, VA
Jae Park is a Dentist provider in Quantico, VA (NPI 1386110781).
Provider details
- NPI number
- 1386110781
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0401416211 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES 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
3259 Catlin Ave
Quantico, VA 22134-5109
Phone: (757) 953-9000
Street-level locationGet directions
Mailing address
2701 Neabsco Common Pl Apt 519
Woodbridge, VA 22191-6717
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2023-02-28
- Certified
- 2023-02-28
Frequently asked questions
- What is Jae Park's NPI number?
- Jae Park's National Provider Identifier (NPI) is 1386110781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jae Park's specialty?
- Jae Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jae Park located?
- Jae Park's practice location on file with NPPES is 3259 Catlin Ave, Quantico, VA 22134-5109.
- What is Jae Park's phone number?
- The practice phone number listed in the NPPES registry for Jae Park is (757) 953-9000.
- Is Jae Park's NPI active?
- Yes — Jae Park's NPI (1386110781) is active in the NPPES registry as of the last update on 2023-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.