Jin Park
Dentist, Oral and Maxillofacial Surgery in Salem, OR. Individual provider (NPI-1).
NPI number1801246715
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1801246715
- Entity type
- Individual (NPI-1)
- Name
- Jin Park
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2016
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | D12135 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
250 Church St Se Ste 102Salem, OR 97301-3758
Phone 503-581-1999
Mailing address
250 Church St Se Ste 102Salem, OR 97301-3758
Other practice locations
1 Medical Center Dr
Morgantown, WV 26506-1200
Morgantown, WV 26506-1200
Phone 304-293-2841
507 W Stan Schlueter Loop Ste 400
Killeen, TX 76542-6877
Killeen, TX 76542-6877
Phone 254-870-9209
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Bronx, NY 10461-1138
Phone 719-918-3419
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Oral and Maxillofacial Surgery (Dentist) providers in Salem, OR
- Jev ClarkNPI 1558622936
- James M. Eyre, M.D., D.M.D.NPI 1609878172
- Gary T. PedersonNPI 1154517415
- Hhhkc Dental LLCNPI 1891902896
- David Wesley Howerton, DMDNPI 1588665723
- Demetri Isaac Howerton, DMD, MDNPI 1851831747
- Jev A. Clark, Dmd, MD, LLCNPI 1831686468
- Dennis Douglas Johnson, D.M.D.NPI 1124242813
- Martin J. Mehr, D.D.S.NPI 1174520548
- Or Oms Specialty Dental Services, LLCNPI 1548137706
All 15 Oral and Maxillofacial Surgery (Dentist) providers in Salem · All 8,143 providers in Salem
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.