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VALLEY RIDGE PEDIATRIC DENTISTRY
NPI 1093562787
Dentist - Pediatric Dentistry in Ponte Vedra, FL

Active since May 01, 2024
4220 VALLEY RIDGE BLVD STE 4, PONTE VEDRA, FL 32081(352) 262-0968 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Valley Ridge Pediatric Dentistry NPPES

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

VALLEY RIDGE PEDIATRIC DENTISTRY (NPI 1093562787) is a healthcare organization registered as a pediatric dentistry in Ponte Vedra, Florida and active in the NPI registry since May 2024. The organization lists Ryan Clance, President, as its authorized official.

NPPES Registry Identity

NPI1093562787
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameVALLEY RIDGE PEDIATRIC DENTISTRY
Location Address4220 VALLEY RIDGE BLVD STE 4Ponte Vedra, FL 32081-5172
Mailing Address2003 Grey Falcon Cir SwVero Beach, FL 32962-8616 · (352) 262-0968
Phone(352) 262-0968
Organization SubpartNo
Authorized OfficialRyan ClancePresident · (352) 262-0968
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1093562787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4220 VALLEY RIDGE BLVD STE 4, Ponte Vedra, FL 32081
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Valley Ridge Pediatric Dentistry's NPI number?

The NPI number for Valley Ridge Pediatric Dentistry is 1093562787. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Valley Ridge Pediatric Dentistry located?

Valley Ridge Pediatric Dentistry is located at 4220 Valley Ridge Blvd Ste 4, Ponte Vedra, FL 32081. The listed phone number is (352) 262-0968.

What is Valley Ridge Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Valley Ridge Pediatric Dentistry accept?

Health plans from UnitedHealthcare list Valley Ridge Pediatric Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Valley Ridge Pediatric Dentistry was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.