Organization · Type 2 NPI
Blue Water Dental of St. Johns
Preferred Provider Organization · Ponte Vedra, FL
Practice location
460 Town Plaza Ave, Suite 210
Ponte Vedra, FL 32081-5139
Mailing address
334 Willow Winds Pkwy
St. Johns, FL 32259-7268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | DN20719 (FL) |
Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4 other providers at this address
- Annette Strickland Van Horn, PSY.D.Clinical Psychologist Ponte Vedra, FL NPI 1366891277
- David Wallace Sorensen, DMDDentist Ponte Vedra, FL NPI 1831508084
- Kathryn Fleming Hanson, PSY.D.Clinical Psychologist Ponte Vedra, FL NPI 1558740068
- Michele Brenneman, PhDPsychologist Ponte Vedra, FL NPI 1922458686
About NPI 1821543513
Blue Water Dental of St. Johns's National Provider Identifier is 1821543513, issued on Aug 23, 2016. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Aug 23, 2016.