JEONG EUN PARK D.M.D.
NPI 1710396361
Dentist in West Lebanon, NH

Q: What is Jeong Eun Park's NPI number?

The NPI number for Jeong Eun Park is 1710396361. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Q: What is Jeong Eun 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 Jeong Eun Park was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 07, 2014PECOS Enrolled

30 AIRPORT RD STE 3, WEST LEBANON, NH 03784(603) 298-7660 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2026, Oct 16, 2023 (2 updates tracked since 2023).

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About Jeong Eun Park D.m.d. NPPES

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

JEONG EUN PARK D.M.D. (NPI 1710396361) is an individual dentist in West Lebanon, New Hampshire, licensed in New Hampshire (04131) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710396361

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJEONG EUN PARKCredential: D.M.D.

Location Address30 AIRPORT RD STE 3West Lebanon, NH 03784-1664

Mailing Address30 Airport Rd Ste 3West Lebanon, NH 03784-1664 · (603) 298-7660

Phone(603) 298-7660

Sole ProprietorNo

Enumeration DateAugust 7, 2014

Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1710396361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in NH · 04131✔ Licensed in WI · 1000983-15

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.

30 AIRPORT RD STE 3, West Lebanon, NH 03784

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeong Eun Park D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03784 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$71.85 typical visit price

range $18.70 – $142.15

Typical copayment $17.96 (range $4.67 – $35.53)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jeong Eun Park's NPI number?

The NPI number for Jeong Eun Park is 1710396361. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Jeong Eun Park located?

Jeong Eun Park practices at 30 Airport Rd Ste 3, West Lebanon, NH 03784. The listed phone number is (603) 298-7660.

What is Jeong Eun Park's specialty?

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

Is Jeong Eun Park enrolled in Medicare?

Yes. Jeong Eun Park is registered in the Medicare PECOS enrollment system.

What insurance does Jeong Eun Park accept?

Health plans from Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jeong Eun 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 Jeong Eun Park was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.