Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jake Sangchul Park, DDS

Individual provider Periodontics · NPI 1891073680

Dr. Jake Sangchul Park, DDS is a Periodontics in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1 Kneeland St Tufts Dental Dept OF Periodontology
Boston, MA 02111
Phone: (617) 292-4366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN1855799 (MA)

Record details

NPI number1891073680
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESAugust 7, 2018

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