Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Islands Edge Dental, LLC

Organization Dental Clinic/Center · NPI 1861162141

Islands Edge Dental, LLC is a Dental Clinic/Center in St Augustine, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Plantation Island Dr S Ste 104B
St Augustine, FL 32080-3110
Phone: (904) 461-5566
Fax: (904) 461-0084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1861162141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Mullet — General Dentist · (904) 461-5566
Other names Island'S Edge Family Dentistry
NPI enumeratedSeptember 17, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing address1301 Plantation Island Dr S Ste 104b, St Augustine, FL 32080-3110

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