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SAN JOSE ASPEN PLLC
NPI 1659923118
Dentist - General Practice in Jacksonville, FL

Active since July 15, 2019
10502 SAN JOSE BLVD STE B, JACKSONVILLE, FL 32257(904) 632-7003 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Jul 18, 2019 (2 updates tracked since 2019).

About San Jose Aspen Pllc NPPES

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

SAN JOSE ASPEN PLLC (NPI 1659923118) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since July 2019. The organization lists Jong Yun Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1659923118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAN JOSE ASPEN PLLC
Location Address10502 SAN JOSE BLVD STE BJacksonville, FL 32257-6209
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(904) 632-7003
Organization SubpartNo
Authorized OfficialJong Yun ParkOwner · (904) 632-7003
Enumeration DateJuly 15, 2019
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1659923118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
10502 SAN JOSE BLVD STE B, Jacksonville, FL 32257
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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 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 San Jose Aspen PLLC's NPI number?

The NPI number for San Jose Aspen PLLC is 1659923118. It was assigned to this organization in the NPPES registry on July 15, 2019.

Where is San Jose Aspen PLLC located?

San Jose Aspen PLLC is located at 10502 San Jose Blvd Ste B, Jacksonville, FL 32257. The listed phone number is (904) 632-7003.

What is San Jose Aspen PLLC's specialty?

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

What insurance does San Jose Aspen PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list San Jose Aspen 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 San Jose Aspen PLLC was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.