Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jong Yun Park PLLC

Organization General Practice Dentistry · NPI 1043615107

Jong Yun Park PLLC is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11806 Atlantic Blvd
Jacksonville, FL 32225-2918
Phone: (315) 454-6000
Fax: (315) 438-4483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN20765 (FL)

Record details

NPI number1043615107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mika Weiss — Provider Relations · (315) 454-6000
Other names Aspen Dental
NPI enumeratedOctober 30, 2014
Last updated in NPPESOctober 30, 2014
Mailing address11806 Atlantic Blvd, Jacksonville, FL 32225-2918

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