Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Professional Dental Alliance of St Augustine, PLLC

Organization General Practice Dentistry · NPI 1386294072

Professional Dental Alliance of St Augustine, PLLC provides General Practice Dentistry in St Augustine, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2225 A1A S Ste A3
St Augustine, FL 32080-6374
Phone: (904) 201-3442
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1386294072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (757) 576-5479
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

Other providers in St Augustine