OrganizationActive
Jong Yun Park PLLC
NPI 1043615107 · General Practice Dentistry · Jacksonville, FL
Jong Yun Park PLLC is a General Practice Dentistry organization in Jacksonville, FL (NPI 1043615107).
Provider details
- NPI number
- 1043615107
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mika Weiss, Provider Relations(315) 454-6000
- License
- DN20765 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11806 Atlantic Blvd
Jacksonville, FL 32225-2918
Phone: (315) 454-6000
Fax: (315) 438-4483
Street-level locationGet directions
Mailing address
11806 Atlantic Blvd
Jacksonville, FL 32225-2918
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- Enumerated
- 2014-10-30
- Last updated
- 2014-10-30
Frequently asked questions
- What is Jong Yun Park PLLC's NPI number?
- Jong Yun Park PLLC's National Provider Identifier (NPI) is 1043615107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jong Yun Park PLLC?
- Jong Yun Park PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jong Yun Park PLLC located?
- Jong Yun Park PLLC's practice location on file with NPPES is 11806 Atlantic Blvd, Jacksonville, FL 32225-2918.
- What is Jong Yun Park PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jong Yun Park PLLC is (315) 454-6000.
- Who is the authorized official for Jong Yun Park PLLC?
- The authorized official listed on Jong Yun Park PLLC's NPPES record is Mika Weiss, Provider Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jong Yun Park PLLC's NPI active?
- Yes — Jong Yun Park PLLC's NPI (1043615107) is active in the NPPES registry as of the last update on 2014-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.