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

My Dentist and Associates, PA

Organization General Practice Dentistry · NPI 1518176023

My Dentist and Associates, PA is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12220 Atlantic Blvd Ste #128
Jacksonville, FL 32225-5822
Phone: (904) 221-8221
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 DN13413 (FL)

Record details

NPI number1518176023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yong Park — President · (904) 221-8221
NPI enumeratedMay 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12220 Atlantic Blvd, Suite #128, Jacksonville, FL 32225-5822

Other providers in Jacksonville