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

Chin W. Park

Individual provider General Practice Dentistry · NPI 1063904449

Chin W. Park is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

10601 San Jose Blvd Ste 117
Jacksonville, FL 32257-6267
Phone: (904) 483-3027
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 DN23386 (FL)

Record details

NPI number1063904449
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJune 1, 2018
Mailing address10601 San Jose Blvd Ste 117, Jacksonville, FL 32257-6267

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