MEDICARE: DR. DONGWOO PARK DDS DMD MSD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	19033	MA

General Provider Information

NPI Number	:	1790848141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONGWOO PARK DDS DMD MSD

Provider Business Mailing Address
First Line	:	6C N COMMONS
Second Line	:
City	:	LINCOLN
State	:	MA
Zip	:	01773-1116
Country	:	US
Telephone Number	:	781-504-7275
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 KNEELAND ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1527
Country	:	US
Telephone Number	:	617-636-6556
Fax Number	:	617-636-6583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	12/06/2015

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1740251289 — DR. NOSHIR MEHTA DMD
Practice Location Address:

1 KNEELAND ST
BOSTON, MA
02111-1527

Practice Phone: 617-636-6817
Practice Fax: 617-636-3831

1588625727 — DAVID E PRINDIVILLE DMD
Practice Location Address:

1 KNEELAND ST
BOSTON, MA
02111-1527

Practice Phone: 617-636-6828
Practice Fax:

1154351047 — DR. ROGER B GALBURT D.D.S.
Practice Location Address:

1 KNEELAND ST
BOSTON, MA
02111-1527

Practice Phone: 617-636-0888
Practice Fax:

1295819217 — MARK A LERMAN DMD
Practice Location Address:

1 KNEELAND ST RM 646
BOSTON, MA
02111-1527

Practice Phone: 617-636-6510
Practice Fax:

1225106446 — DR. KALPAKAM A SHASTRI DDS
Practice Location Address:

1 KNEELAND ST , 5TH FLOOR
BOSTON, MA
02111-1527

Practice Phone: 617-636-6515
Practice Fax: 617-636-6809

Directions to “ DR. DONGWOO PARK DDS DMD MSD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.