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

Lucienne Park, DMD

Individual provider General Practice Dentistry · NPI 1497323315

Lucienne Park, DMD is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5753 Beach Blvd Ste 4
Jacksonville, FL 32207-5128
Phone: (904) 441-1642
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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 · Licence DN27006 (FL)

Record details

NPI number1497323315
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address5753 Beach Blvd Ste 4, Jacksonville, FL 32207-5128

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