OrganizationActive
Southside Aspen PLLC
NPI 1558947739 · General Practice Dentistry · Jacksonville, FL
Southside Aspen PLLC is a General Practice Dentistry organization in Jacksonville, FL (NPI 1558947739).
Provider details
- NPI number
- 1558947739
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jong Yun Park, Owner(904) 240-3439
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
9920 Southside Blvd.
Jacksonville, FL 32256
Phone: (904) 240-3439
Street-level locationGet directions
Mailing address
Po Box 70887
Cleveland, OH 44190-0887
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Frequently asked questions
- What is Southside Aspen PLLC's NPI number?
- Southside Aspen PLLC's National Provider Identifier (NPI) is 1558947739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Aspen PLLC?
- Southside Aspen PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southside Aspen PLLC located?
- Southside Aspen PLLC's practice location on file with NPPES is 9920 Southside Blvd., Jacksonville, FL 32256.
- What is Southside Aspen PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Aspen PLLC is (904) 240-3439.
- Who is the authorized official for Southside Aspen PLLC?
- The authorized official listed on Southside Aspen PLLC's NPPES record is Jong Yun Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Aspen PLLC's NPI active?
- Yes — Southside Aspen PLLC's NPI (1558947739) is active in the NPPES registry as of the last update on 2023-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.