| Ponte Vedra Pediatric Dentistry And Orthodontics | |
|
480 Town Plaza Avenue Suite 110 Ponte Vedra FL 32081 | |
| (904) 880-5437 | |
| (904) 880-1490 |
| Full Name | Ponte Vedra Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 480 Town Plaza Avenue, Ponte Vedra, Florida |
| Authorized Official Name and Position | Lindsay G. Maples (OWNER) |
| Authorized Official Contact | 9048805437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponte Vedra Pediatric Dentistry And Orthodontics 480 Town Plaza Avenue Suite 110 Ponte Vedra FL 32081 Ph: (904) 880-5437 | Ponte Vedra Pediatric Dentistry And Orthodontics 480 Town Plaza Avenue Suite 110 Ponte Vedra FL 32081 Ph: (904) 880-5437 |
| NPI Number | 1194191692 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194191692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN18271 (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 | |
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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 Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 A1a N Ste 326, Ponte Vedra, FL 32082 Phone: 904-273-8881 Fax: 904-285-5346 | |
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 |