Organization · Type 2 NPI
Ponte Vedra Pediatric Dentistry and Orthodontics
Pediatric Dentistry · Ponte Vedra, FL
NPI number
1194191692
Active
Practice location
480 Town Plaza Avenue, Suite 110
Ponte Vedra, FL 32081
Fax (904) 880-1490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN18271 (FL) |
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.
Other pediatric dentistry providers in Ponte Vedra
About NPI 1194191692
Ponte Vedra Pediatric Dentistry and Orthodontics's National Provider Identifier is 1194191692, issued on Aug 19, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ponte Vedra, FL. The record was last updated on Aug 19, 2015.