Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902015415 Individual Practitioner Male Practitioner

Dr. Yong S Park , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Yong Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 515 WEST 6TH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

515 West 6th Street

Jacksonville, FL 32206

Telephone 9042531210
Fax 9042531956
Associated Practice Facility / Clinic
🏢 Agape Pharmacy Facility NPI 1831102763

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN13413

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0007116-00 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Phillis Varnado , DDS

Dentist - General Practice

NPI 1265486260

Doctor of Dental Surgery

Dr. John Grim , DDS

Dentist - General Practice

NPI 1457399214

Doctor of Dental Surgery

Dr. Leigh Wallace , DDS

Dentist - General Practice

NPI 1932367414

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2013

Registered at 515 WEST 6TH STREET, JACKSONVILLE, FL 32206 (Tel: 9042531210)

📍
Updated Business Mailing Address March 06, 2013

Registered at 900 UNIVERSITY BLVD N, JACKSONVILLE, FL 322119230 (Tel: 9042532062)

👤
Provider Name / Credentials Updated March 06, 2013

Recorded as YONG PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2013

Dentist (License #DN13413 in FL)

🟢
Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902015415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: March 06, 2013
Sole Proprietor: No

Mailing Address

900 University Blvd N

Jacksonville, FL 322119230

Phone: 9042532062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.