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DR. YONG S PARK DMD
NPI 1902015415
Dentist - General Practice in Jacksonville, FL

Active since May 21, 2007
515 WEST 6TH STREET, JACKSONVILLE, FL 32206(904) 253-1210(904) 253-1956 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Yong S Park Dmd NPPES

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

DR. YONG S PARK DMD (NPI 1902015415) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN13413) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1902015415
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. YONG S PARKCredential: DMD
Location Address515 WEST 6TH STREETJacksonville, FL 32206
Mailing Address900 University Blvd NJacksonville, FL 32211-9230 · (904) 253-2062 · Fax (904) 253-1942
Phone(904) 253-1210
Fax(904) 253-1956
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateMarch 6, 2013
✔ NPI 1902015415 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.
515 WEST 6TH STREET, Jacksonville, FL 32206
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Other Identifiers 1

Medicaid0007116-00FL

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

DR. TEVIECA ANDREWS JOHNSON PHARMD
Pharmacist
515 WEST 6TH STREET
JACKSONVILLE, FL 32206
Duval County (904) 253-1530
TANGIE D GREEN RPH
Pharmacist
515 WEST 6TH STREET, MC-47
JACKSONVILLE, FL 32206
Duval County (904) 665-1772
MS. ELISA A ZENNI M.D.
Pediatrics
515 WEST 6TH STREET
JACKSONVILLE, FL 32206
Duval County (904) 253-1080
MRS. LINDA LOU GARCIA RN
Registered Nurse (Case Management)
515 WEST 6TH STREET, CENTER FOR WOMEN AND CHILDREN
JACKSONVILLE, FL 32206
Duval County (904) 665-2721

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 Yong Park's NPI number?

The NPI number for Yong Park is 1902015415. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Yong Park located?

Yong Park practices at 515 West 6th Street, Jacksonville, FL 32206. The listed phone number is (904) 253-1210.

What is Yong Park's specialty?

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

What insurance does Yong Park accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Yong 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 Yong Park was last updated on March 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.