IndividualActive
Jeong Eun Park, D.M.D.
NPI 1710396361 · Dentist · West Lebanon, NH
Provider details
- NPI number
- 1710396361
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 1000983-15 (WI)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
30 Airport Rd Ste 3
West Lebanon, NH 03784-1664
Phone: (603) 298-7660
Approximate (ZIP-level) locationGet directions
Mailing address
30 Airport Rd Ste 3
West Lebanon, NH 03784-1664
Registry dates
- Enumerated
- 2014-08-07
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.