The Village Dentist
The Village Dentist provides 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 106St Augustine, FL 32092-3661 Not confirmed with CMS for 15 years — call before visiting
Phone: (904) 940-7990
Fax: (904) 940-7991
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1205132503 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Gibson — Office Manager · (904) 940-7990 |
| NPI enumerated | February 3, 2011 |
| Last updated in NPPES | February 3, 2011 |
| Mailing address | 425 W Town Pl, Suite 106, St Augustine, FL 32092-3661 |
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