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

Pediatric Dental Anesthesia Associates, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1205099769

Pediatric Dental Anesthesia Associates, LLC is an Ambulatory Surgical Clinic/Center in Saint Johns, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

3408 State Road 13
Saint Johns, FL 32259-9270
Phone: (904) 230-3188
Fax: (904) 230-3189
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence L08000008171 (FL)

Record details

NPI number1205099769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Stone — President · (904) 230-3188
NPI enumeratedJuly 5, 2008
Last updated in NPPESJuly 5, 2008
Mailing address3408 State Road 13, Saint Johns, FL 32259-9270