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HOLLY HYUNJUNG PARK-NAH DDS
NPI 1881915858
Dentist - Endodontics in Jacksonville, FL

Active since June 14, 2010PECOS Enrolled
2797 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246(904) 966-4560 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, Jan 22, 2019 (2 updates tracked since 2019).

About Holly Hyunjung Park-nah Dds NPPES

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

HOLLY HYUNJUNG PARK-NAH DDS (NPI 1881915858) is an individual endodontics provider in Jacksonville, Florida, licensed in Florida (DN30260) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881915858
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameHOLLY HYUNJUNG PARK-NAHCredential: DDS
Location Address2797 SAINT JOHNS BLUFF RD SJacksonville, FL 32246-3703
Mailing Address2797 Saint Johns Bluff Rd SJacksonville, FL 32246-3703 · (904) 966-4560
Phone(904) 966-4560
Sole ProprietorYes
Enumeration DateJune 14, 2010
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1881915858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in FL · DN30260✔ Licensed in KY · 8597✔ Licensed in OR · D10948
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2797 SAINT JOHNS BLUFF RD S, Jacksonville, FL 32246
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Hyunjung Park-nah Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSE LEMOINE DDS
Dentist (Periodontics)
2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246
Duval County (904) 641-3777
LUIZ THIAGO PEREIRA DE CARVALHO DDS
Dentist
2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246
Duval County (904) 966-4560
SAGE DENTAL OF JACKSONVILLE MIDTOWN PLLC
Dentist
2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246
Duval County (561) 999-9650

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 Holly Park-nah's NPI number?

The NPI number for Holly Park-nah is 1881915858. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Holly Park-nah located?

Holly Park-nah practices at 2797 Saint Johns Bluff Rd S, Jacksonville, FL 32246. The listed phone number is (904) 966-4560.

What is Holly Park-nah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Holly Park-nah enrolled in Medicare?

Yes. Holly Park-nah is registered in the Medicare PECOS enrollment system.

What insurance does Holly Park-nah accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Humana and 2 other insurers list Holly Park-nah 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 Holly Park-nah was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.