Jeong Eun Park, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

04131 Issued in NH

Practice address

30 Airport Rd Ste 3
West Lebanon, NH 03784-1664

Phone

(603) 298-7660

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upper Valley Family Dental PC

  • Dental Clinic/Center
  • Bedford, NH
  • NPI 1932060431
  NPD Authorized official
• Bruce M. Feldstein, DDS, PC

  • General Practice Dentistry
  • West Lebanon, NH
  • NPI 1538375480
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1710396361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AIRPORT RD STE 3",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841664",
            "telephone_number": "603-298-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AIRPORT RD STE 3",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841664",
            "telephone_number": "603-298-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JEONG EUN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1000983-15",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Noonkester
• Caroline Janet Nord, NP
• Northland Hearing Centers, Inc. (Powerhouse Hearing Center)
• Chioma Nwankwo
• Seth Osgood, FNP
• Jenna Parsons
• Michaela Patenaude, RN
• Rebecca Philbrick, FNP-C
• Brandon Pierce
• Olga Plamondon

• Dentist in West Lebanon, NH
• Providers in West Lebanon, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.