| Ponte Vedra Cosmetic Dentistry, Pa | |
|
100 Professional Dr Ponte Vedra Beach FL 32082-6216 | |
| (904) 285-8407 | |
| (904) 285-5346 |
| Full Name | Ponte Vedra Cosmetic Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Professional Dr, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Kamala Rudolph (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9042858407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponte Vedra Cosmetic Dentistry, Pa 100 Professional Dr Ponte Vedra Beach FL 32082-6216 Ph: (904) 285-8407 | Ponte Vedra Cosmetic Dentistry, Pa 100 Professional Dr Ponte Vedra Beach FL 32082-6216 Ph: (904) 285-8407 |
| NPI Number | 1396000329 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 07/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396000329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sears & Sears, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Executive Way, Suite 100, Ponte Vedra Beach, FL 32082 Phone: 904-285-3128 Fax: 904-285-3128 | |
Crosswater Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 Phone: 904-686-1400 Fax: 904-834-7608 | |
Blankenship Dental At Oakleaf Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Sawgrass Village Cir, Suite 23, Ponte Vedra Beach, FL 32082 Phone: 904-236-8030 Fax: 574-825-2410 | |
Family Smiles Ponte Vedra Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Sawgrass Corners Dr, Suite 102, Ponte Vedra Beach, FL 32082 Phone: 904-543-0568 | |
Palm Valley Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3791 Palm Valley Rd, Suite 205, Ponte Vedra Beach, FL 32082 Phone: 904-834-2736 Fax: 904-834-2737 | |
Ponte Vedra Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Sawgrass Village Cir, Ponte Vedra Beach, FL 32082 Phone: 904-280-1200 Fax: 904-280-0001 |