Jessica Park

NPI #1790479376 in Waitsfield, Vermont

Provider Information

NPI Number: 1790479376
Entity Type: Individual
Name: Jessica Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 6, 2023
Last Updated: Oct 13, 2025

Practice Location

Address: 138 FIDDLERS GRN
City: Waitsfield
State: Vermont
ZIP Code: 05673-6285
Phone: (802) 496-2524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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