Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PONTE VEDRA ORTHODONTICS LLC
NPI 1497560023
Dentist - Orthodontics and Dentofacial Orthopedics in Ponte Vedra Beach, FL

Active since February 11, 2025
3109 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL 32082(904) 273-9115(904) 871-8116 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ponte Vedra Orthodontics Llc NPPES

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

PONTE VEDRA ORTHODONTICS LLC (NPI 1497560023) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Ponte Vedra Beach, Florida and active in the NPI registry since February 2025. The organization lists Merrian Refuerzo, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1497560023
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePONTE VEDRA ORTHODONTICS LLC
Location Address3109 SAWGRASS VILLAGE CIRPonte Vedra Beach, FL 32082-5032
Mailing Address3109 Sawgrass Village CirPonte Vedra Beach, FL 32082-5032 · (904) 273-9115 · Fax (904) 871-8116
Fax(904) 871-8116
Organization SubpartNo
Authorized OfficialMerrian RefuerzoBilling Manager · (321) 609-7241
Enumeration DateFebruary 11, 2025
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1497560023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3109 SAWGRASS VILLAGE CIR, Ponte Vedra Beach, FL 32082

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

Other Providers at the Same Location NPPES 3

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3109 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL 32082
Dentist (Orthodontics and Dentofacial Orthopedics)
3109 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL 32082
Dentist (Orthodontics and Dentofacial Orthopedics)
3109 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL 32082

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 Orthodontics LLC's NPI number?

The NPI number for Ponte Vedra Orthodontics LLC is 1497560023. It was assigned to this organization in the NPPES registry on February 11, 2025.

Where is Ponte Vedra Orthodontics LLC located?

Ponte Vedra Orthodontics LLC is located at 3109 Sawgrass Village Cir, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 273-9115.

What is Ponte Vedra Orthodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Ponte Vedra Orthodontics LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.