Palm Valley Family Dentistry, PLLC
Palm Valley Family Dentistry, PLLC is a General Practice Dentistry in Ponte Vedra Beach, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3791 Palm Valley Rd Ste 205Ponte Vedra Beach, FL 32082-4180
Phone: (904) 834-2736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1790500908 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | McKenzie Worten — Office Manager · (904) 834-2736 |
| NPI enumerated | November 21, 2024 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
| Mailing address | 3791 Palm Valley Rd Ste 205, Ponte Vedra Beach, FL 32082-4180 |
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Thomas Koby-Hercsky, DMD
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Dr. Jason Samuel Olitsky
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Palm Valley Family Dentistry, PA
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Dr. Colleen Sabol Olitsky, DMD
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