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Jessica Park — NPI 1790479376, Waitsfield, VT | NPI Central

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NPI 1790479376

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Jessica Park

NPI 1790479376 · Dentist · Waitsfield, VT

Provider details

NPI number: 1790479376
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Female
Sole proprietor: No
License: 016.0134196 (VT)

Specialties & taxonomies

DentistPrimary122300000XLicense 016.0134196 (VT)
Dental Providers

Practice location

138 Fiddlers Grn

Waitsfield, VT 05673-6285

Phone: (802) 496-2524

Approximate (ZIP-level) locationGet directions

More VT providers

Mailing address

Po Box 40

Hinesburg, VT 05461-0040

Registry dates

Enumerated: 2023-06-06
Last updated: 2025-10-13
Certified: 2025-10-13

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