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IDEAL DENTAL ST JOHNS PLLC
NPI 1073344917
Dentist in St Johns, FL

Active since August 12, 2024
145 BEACHWALK SHORE DR STE 400, ST JOHNS, FL 32259(904) 209-3042 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Sep 5, 2024, Aug 12, 2024 (3 updates tracked since 2024).

About Ideal Dental St Johns Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDEAL DENTAL ST JOHNS PLLC (NPI 1073344917) is a healthcare organization registered as a dentist in St Johns, Florida and active in the NPI registry since August 2024. The organization lists Matthew Doan, Owner, as its authorized official.

NPPES Registry Identity

NPI1073344917
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIDEAL DENTAL ST JOHNS PLLC
Location Address145 BEACHWALK SHORE DR STE 400St Johns, FL 32259-1168
Mailing AddressPo Box 840925Dallas, TX 75284-0925 · (972) 361-0600
Phone(904) 209-3042
Organization SubpartNo
Authorized OfficialMatthew DoanOwner · (972) 331-8067
Enumeration DateAugust 12, 2024
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1073344917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
145 BEACHWALK SHORE DR STE 400, St Johns, FL 32259
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ideal Dental St Johns PLLC's NPI number?

The NPI number for Ideal Dental St Johns PLLC is 1073344917. It was assigned to this organization in the NPPES registry on August 12, 2024.

Where is Ideal Dental St Johns PLLC located?

Ideal Dental St Johns PLLC is located at 145 Beachwalk Shore Dr Ste 400, St Johns, FL 32259. The listed phone number is (904) 209-3042.

What is Ideal Dental St Johns PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ideal Dental St Johns PLLC was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.