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

San Jose Aspen PLLC

Organization General Practice Dentistry · NPI 1659923118

San Jose Aspen PLLC is a General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10502 San Jose Blvd Ste B
Jacksonville, FL 32257-6209
Phone: (904) 632-7003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1659923118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jong Yun Park — Owner · (904) 632-7003
NPI enumeratedJuly 15, 2019
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing addressPo Box 70887, Cleveland, OH 44190-0887

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