JAE MIN PARK DDS
NPI 1043101074
Dentist in Waterville, ME

Q: What is Jae Min Park's NPI number?

The NPI number for Jae Min Park is 1043101074. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Q: What is Jae Min Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Min Park was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2025

185 MAIN ST, WATERVILLE, ME 04901(833) 201-0170 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2025, Jul 9, 2025 (2 updates tracked since 2025).

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About Jae Min Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE MIN PARK DDS (NPI 1043101074) is an individual dentist in Waterville, Maine, licensed in Massachusetts (DN10000826) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1043101074

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJAE MIN PARKCredential: DDS

Location Address185 MAIN STWaterville, ME 04901-6625

Mailing Address3203-300 Front Street WestToronto, ONTARIO M5V0E9

Phone(833) 201-0170

Sole ProprietorYes

Enumeration DateJuly 9, 2025

Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1043101074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · DN10000826

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

185 MAIN ST, Waterville, ME 04901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALDEN STANTON HURTIG

Dentist (General Practice)

185 MAIN ST
WATERVILLE, ME 04901

Kennebec County (207) 872-6815

DR. OLUGBENGA A AKINSANYA DDS

Dentist (General Practice)

185 MAIN ST
WATERVILLE, ME 04901

Kennebec County (207) 415-1296

CONTINUUM DENTAL EDUCATION INC

Dentist

185 MAIN ST
WATERVILLE, ME 04901

Kennebec County (800) 971-2513

MISS JAIMIE ANN JOLLOTTA RDH

Dental Hygienist

185 MAIN ST
WATERVILLE, ME 04901

Kennebec County (207) 649-2298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Min Park's NPI number?

The NPI number for Jae Min Park is 1043101074. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Jae Min Park located?

Jae Min Park practices at 185 Main St, Waterville, ME 04901. The listed phone number is (833) 201-0170.

What is Jae Min Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jae Min Park accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Jae Min Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Min Park was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.