Dong Jin Park, - Medicare Dentist in Meriden, CT

Dong Jin Park, is a medicare enrolled "Dentist - General Practice" provider in Meriden, Connecticut. His current practice location is 490 S Broad St, Meriden, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 237-1000.

Dong Jin Park is licensed to practice in Connecticut (license number 010794) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174888622.

Contact Information

Dong Jin Park,
490 S Broad St,
Meriden, CT 06450
(203) 237-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDong Jin Park
GenderMale
SpecialityDentist - General Practice
Location490 S Broad St, Meriden, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174888622
  • Provider Enumeration Date: 07/11/2012
  • Last Update Date: 09/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2961700869
  • Enrollment ID: I20160408001557

Medical Identifiers

Medical identifiers for Dong Jin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174888622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 010794 (Connecticut)Secondary
1223G0001XDentist - General Practice 010794 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dong Jin Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dong Jin Park,
490 S Broad St,
Meriden, CT 06450

Ph: (203) 237-1000
Dong Jin Park,
490 S Broad St,
Meriden, CT 06450

Ph: (203) 237-1000

Reviews and Comments


Dentist in Meriden, CT

Dr. Ronald Messinger, D.D.S.
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Phone: 203-235-0121    
Dr. Harvey E Matloff, D.D.S.
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Practice Location: 298 Broad St, Meriden, CT 06450
Phone: 203-235-5588    Fax: 203-630-3021
Lauren Michelle Aber, DMD
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Phone: 203-235-3539    
Dr. Carissa Marie Tanaka, D.M.D.
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Phone: 203-235-0121    
Dr. Andrea Gentile-fiori, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 546 S Broad St, Suite 3b, Meriden, CT 06450
Phone: 203-237-7449    
Jaime Irizarry, DMD
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Medicare: Medicare Enrolled
Practice Location: 1064 E Main St Ste 102, Meriden, CT 06450
Phone: 203-634-8727    
Dr. Marianne Murray Urbanski, DMD,MSCD
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Medicare: Medicare Enrolled
Practice Location: 546 S Broad St, Suite 3a, Meriden, CT 06450
Phone: 203-630-1312    Fax: 203-235-6673

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.