Jae H. Park
NPI 1386110781ActiveIndividual· Dentist· Quantico, VA
Dentist in Quantico, Virginia, licensed in VA, with an NPI issued in October 2018. Colgate Oral Pharmaceuticals, Inc. reported $17.48 in payments in 2025, mostly education.
Overview
| NPI | 1386110781 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 23, 2018 |
| Last updated in NPPES | Feb 28, 2023 |
| Certified by provider | Feb 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 0401416211 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$17.48 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $17.48 | 1 |
What the 2025 payments were for
- Education$17.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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