| 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 |
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