Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Dentist and Associates, PA

Organization General Practice Dentistry · NPI 1518176023

My Dentist and Associates, PA provides General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12220 Atlantic Blvd Ste #128
Jacksonville, FL 32225-5822
Phone: (904) 221-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN13413 (FL)

Record details

NPI number1518176023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yong Park — President · (904) 221-8221
NPI enumeratedMay 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12220 Atlantic Blvd, Suite #128, Jacksonville, FL 32225-5822

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