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

Ponte Vedra Family Dentistry

Organization Dentist · NPI 1588823033

Ponte Vedra Family Dentistry is a Dentist in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

7000 Sawgrass Village Cir
Ponte Vedra Beach, FL 32082-5014
Phone: (904) 280-1200
Fax: (904) 280-0001
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16658 (FL)

Record details

NPI number1588823033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Banga — Dentist · (904) 280-1200
NPI enumeratedJune 9, 2008
Last updated in NPPESFebruary 22, 2012
Mailing address7000 Sawgrass Village Cir, Suite 326, Ponte Vedra Beach, FL 32082-5014

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