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MY DENTIST AND ASSOCIATES, P.A.
NPI 1518176023
Dentist - General Practice in Jacksonville, FL

Active since May 21, 2007
12220 ATLANTIC BLVD, SUITE #128, JACKSONVILLE, FL 32225(904) 221-8221 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Dentist And Associates, P.a. NPPES

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

MY DENTIST AND ASSOCIATES, P.A. (NPI 1518176023) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since May 2007. The organization lists Yong Park, President, as its authorized official.

NPPES Registry Identity

NPI1518176023
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY DENTIST AND ASSOCIATES, P.A.
Location Address12220 ATLANTIC BLVD, SUITE #128Jacksonville, FL 32225-5822
Mailing Address12220 Atlantic Blvd, Suite #128Jacksonville, FL 32225-5822
Phone(904) 221-8221
Organization SubpartNo
Authorized OfficialYong ParkPresident · (904) 221-8221
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1518176023 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 · DN13413
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.
12220 ATLANTIC BLVD, Jacksonville, FL 32225
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JAXCARE TRANSPORTATION SERVICES LLC
Private Vehicle
12220 ATLANTIC BLVD, STE 130 #1278
JACKSONVILLE, FL 32225
Duval County (754) 971-5105
DR. BETTY M MINA MD
Pediatrics
12220 ATLANTIC BLVD, #112
JACKSONVILLE, FL 32225
Duval County (904) 220-8883
SOUTHEASTERN HEARING INC.
Hearing Instrument Specialist
12220 ATLANTIC BLVD, UNIT 113
JACKSONVILLE, FL 32225
Duval County (904) 220-3277

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 My Dentist And Associates, P.A.'s NPI number?

The NPI number for My Dentist And Associates, P.A. is 1518176023. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is My Dentist And Associates, P.A. located?

My Dentist And Associates, P.A. is located at 12220 Atlantic Blvd Suite #128, Jacksonville, FL 32225. The listed phone number is (904) 221-8221.

What is My Dentist And Associates, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for My Dentist And Associates, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.