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)
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.