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LUCIENNE PARK DMD
NPI 1497323315
Dentist - General Practice in Jacksonville, FL

Active since June 16, 2021
5753 BEACH BLVD STE 4, JACKSONVILLE, FL 32207(904) 441-1642 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Jul 8, 2024, Jul 5, 2024 and 3 more (6 updates tracked since 2021).

About Lucienne Park Dmd NPPES

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

LUCIENNE PARK DMD (NPI 1497323315) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN27006) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1497323315
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLUCIENNE PARKCredential: DMD
Location Address5753 BEACH BLVD STE 4Jacksonville, FL 32207-5128
Mailing Address5753 Beach Blvd Ste 4Jacksonville, FL 32207-5128
Phone(904) 441-1642
Sole ProprietorYes
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 6, 20256 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1497323315 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 · DN27006
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.
5753 BEACH BLVD STE 4, Jacksonville, FL 32207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN LE DMD
Dentist (General Practice)
5753 BEACH BLVD STE 4
JACKSONVILLE, FL 32207
Duval County (904) 441-1642

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 Lucienne Park's NPI number?

The NPI number for Lucienne Park is 1497323315. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Lucienne Park located?

Lucienne Park practices at 5753 Beach Blvd Ste 4, Jacksonville, FL 32207. The listed phone number is (904) 441-1642.

What is Lucienne Park's specialty?

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

What insurance does Lucienne Park accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Lucienne Park 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 Lucienne Park was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.