OrganizationActive
San Jose Aspen PLLC
NPI 1659923118 · General Practice Dentistry · Jacksonville, FL
San Jose Aspen PLLC is a General Practice Dentistry organization in Jacksonville, FL (NPI 1659923118).
Provider details
- NPI number
- 1659923118
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jong Yun Park, Owner(904) 632-7003
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
10502 San Jose Blvd Ste B
Jacksonville, FL 32257-6209
Phone: (904) 632-7003
Street-level locationGet directions
Mailing address
Po Box 70887
Cleveland, OH 44190-0887
Registry dates
- Enumerated
- 2019-07-15
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Frequently asked questions
- What is San Jose Aspen PLLC's NPI number?
- San Jose Aspen PLLC's National Provider Identifier (NPI) is 1659923118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Jose Aspen PLLC?
- San Jose Aspen PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is San Jose Aspen PLLC located?
- San Jose Aspen PLLC's practice location on file with NPPES is 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209.
- What is San Jose Aspen PLLC's phone number?
- The practice phone number listed in the NPPES registry for San Jose Aspen PLLC is (904) 632-7003.
- Who is the authorized official for San Jose Aspen PLLC?
- The authorized official listed on San Jose 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 San Jose Aspen PLLC's NPI active?
- Yes — San Jose Aspen PLLC's NPI (1659923118) is active in the NPPES registry as of the last update on 2023-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.