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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PONTE VEDRA COSMETIC DENTISTRY, PA

Active Organization

PONTE VEDRA COSMETIC DENTISTRY, PA is a General Dentistry organization located in PONTE VEDRA BEACH, Florida. NPI 1396000329 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PONTE VEDRA BEACH, FL

Registration Details

NPI Number
1396000329
Provider Type
Organization
NPI Issued
Jul 5, 2012 (14.110780633169 yrs)
Last Updated
Jul 5, 2012

Practice Information

Address
100 PROFESSIONAL DR
PONTE VEDRA BEACH, FL, 320826216
Browse FL providers · Browse ZIP 32082
Phone
9042858407
Fax
9042855346
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.