| Ponte Vedra Dental Group | |
|
330 A1a N Ste 326 Ponte Vedra FL 32082-1827 | |
| (904) 273-8881 | |
| (904) 285-5346 |
| Full Name | Ponte Vedra Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 330 A1a N Ste 326, Ponte Vedra, Florida |
| Authorized Official Name and Position | Michael Winter (PROVIDER) |
| Authorized Official Contact | 9042858407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponte Vedra Dental Group 330 A1a N Ste 326 Ponte Vedra FL 32082-1827 Ph: (904) 273-8881 | Ponte Vedra Dental Group 330 A1a N Ste 326 Ponte Vedra FL 32082-1827 Ph: (904) 273-8881 |
| NPI Number | 1336586577 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336586577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10201 (Florida) | Primary |
Bryan Keith Blankenship Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Sawgrass Village Cir, Suite 23, Ponte Vedra, FL 32082 Phone: 904-280-0070 Fax: 904-280-0079 | |
Valley Ridge Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 Valley Ridge Blvd Ste 4, Ponte Vedra, FL 32081 Phone: 352-262-0968 | |
Guided Smiles Prosthodontics & Implant Center Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 153 Fort Wade Road, Ste 100, Ponte Vedra, FL 32081 Phone: 904-395-5501 | |
Sawgrass Complete Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Sawgrass Village Cir Ste 23, Ponte Vedra, FL 32082 Phone: 904-280-0070 | |
Ponte Vedra Pediatric Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Town Plaza Avenue, Suite 110, Ponte Vedra, FL 32081 Phone: 904-880-5437 Fax: 904-880-1490 | |
Ponte Vedra Complete Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Solana Rd Ste A, Ponte Vedra, FL 32082 Phone: 904-285-7711 |