MEDICARE: DENTAL PARK DREAMS

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1972464980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL PARK DREAMS

Provider Business Mailing Address
First Line	:	42 CRANBERRY LN
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02492-1422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 UNIVERSITY AVE STE 101
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-2315
Country	:	US
Telephone Number	:	781-214-0990
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	TAEJOON PARK
Credential	:
Telephone Number	:	216-778-9231

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

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Directions to “DENTAL PARK DREAMS ” Practice Location

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