PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI# 1194191692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194191692 |
| Entity Type | Organization |
| Organization Name | PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Practice Address |
480 Town Plaza Avenue Suite 110 Ponte Vedra FL 32081 |
| Practice Telephone | 9048805437 |
| Practice Fax Number | 9048801490 |
| Mailing Telephone | 9048805437 |
| Mailing Fax Number | 9048801490 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | MRS. LINDSAY G. MAPLES (OWNER) |
| Authorized Official Telephone | 9048805437 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN18271 | FL | Dental Providers |
| Street Address |
480 TOWN PLAZA AVENUE SUITE 110 |
| City | PONTE VEDRA |
| State | FL |
| Zip Code | 32081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1396379780 | Blue Water Health and Wellness LLC | Clinic/Center | 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 | 2020-02-25 |
| 1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1588121487 | Donald A. Barnhorst Jr. Md Pa | Eyewear Supplier (Equipment, not the service) | 190 Marketside Ave., Suite B, Ponte Vedra, FL 32081 | 2019-02-27 |
| 1770056996 | Kelsey Rosenblum | Specialist/Technologist | 122 Princess Drive, Ponte Vedra, FL 32081 | 2019-01-10 |
| 1609364884 | Turner Telemedicine, Pllc | Family Medicine | 102 Queensland Cir, Ponte Vedra, FL 32081 | 2018-04-24 |
| 1649705914 | Catherine Julia Seidle | Nurse Practitioner | 20 Rialto Drive, Ponte Vedra, FL 32081 | 2017-04-25 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1053776872 | Brittany Jones | Social Worker | 98 Skylar Lane, Ponte Vedra, FL 32081 | 2015-12-21 |
| Find all providers in zip 32081 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069672 | Susana Perry | Dentist | 7000 Sawgrass Village Circle, Ponte Vedra, FL 32082 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA |
| Zip Code | 32081 |
Please comment or provide details below to improve the information on PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS.
| 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.