THE VILLAGE DENTIST
NPI 1205132503
Dentist - General Practice in St Augustine, FL

Q: What is The Village Dentist's NPI number?

The NPI number for The Village Dentist is 1205132503. It was assigned to this organization in the NPPES registry on February 3, 2011.

Q: What is The Village Dentist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 03, 2011

425 W TOWN PL, SUITE 106, ST AUGUSTINE, FL 32092(904) 940-7990(904) 940-7991 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About The Village Dentist NPPES

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

THE VILLAGE DENTIST (NPI 1205132503) is a healthcare organization registered as a general practice in St Augustine, Florida and active in the NPI registry since February 2011. The organization lists Michele Gibson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205132503

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameTHE VILLAGE DENTIST

Location Address425 W TOWN PL, SUITE 106St Augustine, FL 32092-3661

Mailing Address425 W Town Pl, Suite 106St Augustine, FL 32092-3661 · (904) 940-7990 · Fax (904) 940-7991

Phone(904) 940-7990

Fax(904) 940-7991

Organization SubpartNo

Authorized OfficialMichele GibsonOffice Manager · (904) 940-7990

Enumeration DateFebruary 3, 2011

✔ NPI 1205132503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN11714

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

425 W TOWN PL, St Augustine, FL 32092

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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VILLAGE CHIROPRACTIC CENTER OF

Chiropractor

425 W TOWN PL, STE. 118
SAINT AUGUSTINE, FL 32092

St. Johns County (904) 940-0361

DR. KENNETH LAYNE BERRY D.C.

Chiropractor

425 W TOWN PL, STE. 118
ST AUGUSTINE, FL 32092

St. Johns County (904) 940-0361

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 The Village Dentist's NPI number?

The NPI number for The Village Dentist is 1205132503. It was assigned to this organization in the NPPES registry on February 3, 2011.

Where is The Village Dentist located?

The Village Dentist is located at 425 W Town Pl Suite 106, St Augustine, FL 32092. The listed phone number is (904) 940-7990.

What is The Village Dentist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for The Village Dentist was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.