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

Ponte Vedra Orthodontics LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1497560023

Ponte Vedra Orthodontics LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Ponte Vedra Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

3109 Sawgrass Village Cir
Ponte Vedra Beach, FL 32082-5032
Phone: (904) 273-9115
Fax: (904) 871-8116
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1497560023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merrian Refuerzo — Billing Manager · (321) 609-7241
NPI enumeratedFebruary 11, 2025
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address3109 Sawgrass Village Cir, Ponte Vedra Beach, FL 32082-5032

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