DR. YONG S PARK


Address: 515 West 6th Street, Jacksonville, FL 32206
Phone: 9042531210

DR. YONG S PARK (NPI# 1902015415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902015415
Entity Type Individual
Full Name DR. YONG S PARK
Credential DMD
Practice Address 515 West 6th Street
Jacksonville
FL 32206
Mailing Address 900 University Blvd N
Jacksonville
FL 32211-9230
Practice Telephone 9042531210
Practice Fax Number 9042531956
Mailing Telephone 9042532062
Mailing Fax Number 9042531942
Enumeration Date 2007-05-21
Last Update Date 2013-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN13413 FL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 0007116-00 05

Other Providers YONG PARK

NPI Name Taxonomy Address Enumeration
1194322495 Yong Sue Park Psychologist 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 2020-10-08
1972027225 Yong Suel Park Dentist 292 Route 94, Vernon, NJ 07462-3181 2017-07-28
1699047407 Yong Hoon Park Acupuncturist 1911 Commercenter East, Suite 107, San Bernardino, CA 92408 2012-02-09
1316238470 Yong Hwa Park General Practice 25676 Island Lake Dr, Novi, MI 48374-2175 2011-04-25
1154560696 Yong Woon Park Chiropractor 5049 Birchwood Ave, Skokie, IL 60077-3349 2009-02-06
1205984317 Yong J Park Optometrist 2609 Foothill Blvd, La Crescenta, CA 91214-3511 2007-01-08
1205913761 Yong Park Emergency Medicine 506 4th St Nw, Jasper, FL 32052-6603 2006-11-01
1497869499 Yong Ho Park Surgery 501 West Riverside Avenue, Superior, MT 59872-0847 2006-08-18
1811374325 Yong Park Pharmacist 520 W Washington St, Sequim, WA 98382-3279 2015-05-05
1922388404 Yong J Park Pharmacist 4801 N Lincoln Ave, Chicago, IL 60625-1915 2011-08-28

Office Location

Street Address 515 WEST 6TH STREET
City JACKSONVILLE
State FL
Zip Code 32206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306899711 Pauline J Rolle Pediatrics 515 West 6th Street, Mc-51, Jacksonville, FL 32206 2006-05-18
1033554522 Tevieca Andrews Johnson Pharmacist 515 West 6th Street, Jacksonville, FL 32206-4448 2013-05-09
1235330549 Daphne Denise Coats Nurse Practitioner 515 West 6th Street, Jacksonville, FL 32206 2007-05-31
1336261486 Tangie D Green Pharmacist 515 West 6th Street, Mc-47, Jacksonville, FL 32206 2007-04-06
1518020460 Linda Lou Garcia Registered Nurse 515 West 6th Street, Center for Women and Children, Jacksonville, FL 32206 2006-12-19
1346293255 Elisa A Zenni Pediatrics 515 West 6th Street, Jacksonville, FL 32206 2006-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790275543 Marvin Victor Sindel IIi Nurse Practitioner 1241 E 8th St, Jacksonville, FL 32206 2018-05-17
1982126553 Marcia Camille Holloway In Home Supportive Care 647 East 31th Street, Jacksonville, FL 32206 2017-07-14
1407302656 Tahnita Fleming Day Training, Developmentally Disabled Services 1309 Van Buren Street, Jacksonville, FL 32206 2016-08-28
1912202136 Bishop Home Care, Inc Clinic/Center 1627 E 8th Street, Jacksonville, FL 32206 2011-01-19
1407183965 Richard Adam Crosby Chiropractor 4211 North Pearl St., Jacksonville, FL 32206 2009-11-04
1346494903 Delvenia Renee Mitchell Specialist 4515 N Pearl St Apt 2, Jacksonville, FL 32206 2008-11-10
1962662775 Curtis Michael Bryant Radiology 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 2008-06-15
1932253879 Gale Marie Cohen-weiss Social Worker Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 2007-01-22
1396817557 Bella Caimol Ejercito Internal Medicine 4608 Norwood Ave, Jacksonville, FL 32206 2006-11-14
1962584433 Jessica Ivette Warthen Pharmacist 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 2006-10-20
Find all providers in zip 32206

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962018424 Sydney Fowler Dentist 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 2020-09-21
1871106260 Comfortable Care Dental Health Professionals, P.a. Dentist 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 2020-08-26
1831710771 Mark William Russell Dentist 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 2020-05-01
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1659923118 San Jose Aspen Pllc Dentist 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 2019-07-15
1326603176 Evens Family Dental Dentist 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 2019-05-07
1487123006 Susan Prater Kudlats, D.m.d, P.a. Dentist 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 2018-11-14
1043792534 Atlantic Dentistry Pa Dentist 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 2018-08-31
1447738620 Argyle Dental Pllc Dentist 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 2018-07-31
1427534445 Sandeep Chunduru Dentist 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 2018-07-12
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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