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

Ideal Dental St Johns PLLC

Organization Dentist · NPI 1073344917

Ideal Dental St Johns PLLC provides Dentist services in St Johns, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

145 Beachwalk Shore Dr Ste 400
St Johns, FL 32259-1168
Phone: (904) 209-3042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1073344917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Doan — Owner · (972) 331-8067
NPI enumeratedAugust 12, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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