- Practice location
- 138 Fiddlers Grn, Waitsfield, VT 05673-6285
- Phone
- 802-496-2524
- Fax
- —
- Last updated
- October 13, 2025
Jessica Park is a Dentist based in Waitsfield, VT. Jessica Park practices in Waitsfield, VT. The NPI Number for Jessica Park is 1790479376 and holds a License No. 016.0134196 (VT). The current practice location address for Jessica Park is 138 Fiddlers Grn, Waitsfield, VT 05673-6285 and can be reached out via phone at 802-496-2524.
Provider Profile Details
- NPI Number
- 1790479376
- Provider Name
- Jessica Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 138 Fiddlers Grn, Waitsfield, VT 05673-6285
- Phone Number
- 802-496-2524
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2023
- Last Update Date
- October 13, 2025
- Certification Date
- October 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 138 Fiddlers Grn
Waitsfield, VT 05673-6285 - City
- Waitsfield
- State
- Vermont
- Zip
- 05673-6285
- Phone Number
- 802-496-2524
Provider Business Mailing Address Details
- Address
- Po Box 40
Hinesburg, VT 05461-0040 - City
- Hinesburg
- State
- VT
- Zip
- 05461-0040
License Information
- License Number
- 016.0134196
- License State
- VT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica Park?
The NPI number of Jessica Park is 1790479376. It was assigned on June 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Jessica Park?
Jessica Park is registered under the primary taxonomy Dentist (code 122300000X), licensed in VT under license number 016.0134196.
Where does Jessica Park practice?
The practice location is 138 Fiddlers Grn, Waitsfield, VT 05673-6285. The office can be reached at 802-496-2524 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790479376 directly on the NPPES registry website.