Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLUE WATER DENTAL OF ST. JOHNS
Active OrganizationBLUE WATER DENTAL OF ST. JOHNS is a Preferred Provider Organization organization located in PONTE VEDRA, Florida. NPI 1821543513 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · PONTE VEDRA, FL
Registration Details
- NPI Number
- 1821543513
- Provider Type
- Organization
- NPI Issued
- Aug 23, 2016 (9.9838651430215 yrs)
- Last Updated
- Aug 23, 2016
- License
-
DN20719 (FL)
Practice Information
- Address
-
460 TOWN PLAZA AVESUITE 210PONTE VEDRA, FL, 320815139Browse FL providers · Browse ZIP 32081
- Phone
- 9047551966
- Primary Specialty
-
Preferred Provider Organization
305R00000X
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.