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

Jacksonville Tongue Tie LLC

Organization Pediatric Dentistry · NPI 1831858067

Jacksonville Tongue Tie LLC is a Pediatric Dentistry in Saint Johns, Florida. Works from 2 locations. 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.

See every abbreviation used in this directory →

Practice location Address checks out

196 Everest Ln Ste 1
Saint Johns, FL 32259-4103
Phone: (904) 584-9004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 463725 State Road 200 Ste 3, Yulee, FL 32097-8671 — (904) 849-2400

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1831858067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Veal — Practice Administrator · (904) 584-9004
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address196 Everest Ln Ste 1, Saint Johns, FL 32259-4103

Other providers in Saint Johns