PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI 1194191692
Dentist - Pediatric Dentistry in Ponte Vedra, FL

Q: What is Ponte Vedra Pediatric Dentistry And Orthodontics's specialty?

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

Active since August 19, 2015

480 TOWN PLAZA AVENUE, SUITE 110, PONTE VEDRA, FL 32081(904) 880-5437(904) 880-1490 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ponte Vedra Pediatric Dentistry And Orthodontics NPPES

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

PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI 1194191692) is a healthcare organization registered as a pediatric dentistry in Ponte Vedra, Florida and active in the NPI registry since August 2015. The organization lists Lindsay G. Maples, Owner, as its authorized official.

NPPES Registry Identity

NPI1194191692

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS

Location Address480 TOWN PLAZA AVENUE, SUITE 110Ponte Vedra, FL 32081

Mailing Address480 Town Plaza Avenue, Suite 110Ponte Vedra, FL 32081 · (904) 880-5437 · Fax (904) 880-1490

Phone(904) 880-5437

Fax(904) 880-1490

Organization SubpartNo

Authorized OfficialLindsay G. MaplesOwner · (904) 880-5437

Enumeration DateAugust 19, 2015

✔ NPI 1194191692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in FL · DN18271

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.

480 TOWN PLAZA AVENUE, Ponte Vedra, FL 32081

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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

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 Ponte Vedra Pediatric Dentistry And Orthodontics's NPI number?

The NPI number for Ponte Vedra Pediatric Dentistry And Orthodontics is 1194191692. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Ponte Vedra Pediatric Dentistry And Orthodontics located?

Ponte Vedra Pediatric Dentistry And Orthodontics is located at 480 Town Plaza Avenue Suite 110, Ponte Vedra, FL 32081. The listed phone number is (904) 880-5437.

What is Ponte Vedra Pediatric Dentistry And Orthodontics's specialty?

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

What insurance does Ponte Vedra Pediatric Dentistry And Orthodontics accept?

Health plans from UnitedHealthcare list Ponte Vedra Pediatric Dentistry And Orthodontics 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 Ponte Vedra Pediatric Dentistry And Orthodontics was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.