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

Ponte Vedra Pediatric Dentistry and Orthodontics

Organization Pediatric Dentistry · NPI 1194191692

Ponte Vedra Pediatric Dentistry and Orthodontics is a Pediatric Dentistry in Ponte Vedra, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

480 Town Plaza Ave Ste 110
Ponte Vedra, FL 32081
Phone: (904) 880-5437
Fax: (904) 880-1490
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN18271 (FL)

Record details

NPI number1194191692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsay Maples — Owner · (904) 880-5437
NPI enumeratedAugust 19, 2015
Last updated in NPPESAugust 19, 2015
Mailing address480 Town Plaza Avenue, Suite 110, Ponte Vedra, FL 32081

Other providers in Ponte Vedra