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

The Village Dentist

Organization General Practice Dentistry · NPI 1205132503

The Village Dentist is a General Practice Dentistry in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

425 W Town Pl Ste 106
St Augustine, FL 32092-3661
Phone: (904) 940-7990
Fax: (904) 940-7991
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN11714 (FL)

Record details

NPI number1205132503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Gibson — Office Manager · (904) 940-7990
NPI enumeratedFebruary 3, 2011
Last updated in NPPESFebruary 3, 2011
Mailing address425 W Town Pl, Suite 106, St Augustine, FL 32092-3661

Other providers in St Augustine