ASPEN DENTAL
NPI 1043615107
Dentist - General Practice in Jacksonville, FL

Q: What is Jong Yun Park PLLC's NPI number?

The NPI number for Jong Yun Park PLLC is 1043615107. It was assigned to this organization in the NPPES registry on October 30, 2014. The provider is doing business as Aspen Dental.

Q: What is Jong Yun Park PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 30, 2014

11806 ATLANTIC BLVD, JACKSONVILLE, FL 32225(315) 454-6000(315) 438-4483 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Aspen Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASPEN DENTAL (NPI 1043615107) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since October 2014. The organization lists Mika Weiss, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1043615107

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJONG YUN PARK PLLC

Location Address11806 ATLANTIC BLVDJacksonville, FL 32225-2918

Mailing Address11806 Atlantic BlvdJacksonville, FL 32225-2918 · (315) 454-6000 · Fax (315) 438-4483

Phone(315) 454-6000

Fax(315) 438-4483

Organization SubpartNo

Authorized OfficialMika WeissProvider Relations · (315) 454-6000

Enumeration DateOctober 30, 2014

✔ NPI 1043615107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN20765

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

11806 ATLANTIC BLVD, Jacksonville, FL 32225

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Other Names 1

Doing Business AsAspen Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jong Yun Park PLLC's NPI number?

The NPI number for Jong Yun Park PLLC is 1043615107. It was assigned to this organization in the NPPES registry on October 30, 2014. The provider is doing business as Aspen Dental.

Where is Jong Yun Park PLLC located?

Jong Yun Park PLLC is located at 11806 Atlantic Blvd, Jacksonville, FL 32225. The listed phone number is (315) 454-6000.

What is Jong Yun Park PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jong Yun Park PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Jong Yun Park PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jong Yun Park PLLC was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.