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ASPEN DENTAL
NPI 1649633470
Dentist - General Practice in Saint Augustine, FL

Active since March 30, 2016
1747 US HIGHWAY 1 S, SAINT AUGUSTINE, FL 32084(904) 495-0881(904) 824-9257 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aspen Dental NPPES

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

ASPEN DENTAL (NPI 1649633470) is a healthcare organization registered as a general practice in Saint Augustine, Florida and active in the NPI registry since March 2016. The organization lists Kevon E Rennie, Owner, as its authorized official.

NPPES Registry Identity

NPI1649633470
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEVON E. RENNIE DMD, P.A.
Location Address1747 US HIGHWAY 1 SSaint Augustine, FL 32084-4238
Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (315) 454-6000 · Fax (315) 410-5531
Phone(904) 495-0881
Fax(904) 824-9257
Organization SubpartNo
Authorized OfficialKevon E RennieOwner · (904) 495-0881
Enumeration DateMarch 30, 2016
✔ NPI 1649633470 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 · DN21399
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.
1747 US HIGHWAY 1 S, Saint Augustine, FL 32084
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Other Names 1

Doing Business AsAspen Dental

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 6

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

JOHN NAGY THABET SALEB
Dentist
1747 US HIGHWAY 1 S
SAINT AUGUSTINE, FL 32084
St. Johns County (315) 454-6000
DR. RACHEL LEAH SMITH D.M.D.
Dentist
1747 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
St. Johns County (904) 495-0881
DR. ALYSSHA BONIQUE POWERS D.M.D
Dentist
1747 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
St. Johns County (904) 717-0291
RENNIGADE DENTAL GROUP PLLC
Dentist (General Practice)
1747 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
St. Johns County (904) 495-0881
DR. SAMUEL SHREWSBURY DMD
Dentist
1747 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
St. Johns County (904) 495-0881
JASMINE MCCAULLEY RENNIE D.M.D.
Dentist (General Practice)
1747 US HIGHWAY 1 S
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 429-4647

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 Kevon E. Rennie Dmd, P.A.'s NPI number?

The NPI number for Kevon E. Rennie Dmd, P.A. is 1649633470. It was assigned to this organization in the NPPES registry on March 30, 2016. The provider is doing business as Aspen Dental.

Where is Kevon E. Rennie Dmd, P.A. located?

Kevon E. Rennie Dmd, P.A. is located at 1747 Us Highway 1 S, Saint Augustine, FL 32084. The listed phone number is (904) 495-0881.

What is Kevon E. Rennie Dmd, P.A.'s specialty?

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

What insurance does Kevon E. Rennie Dmd, P.A. accept?

Health plans from Humana and UnitedHealthcare list Kevon E. Rennie Dmd, P.A. 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 Kevon E. Rennie Dmd, P.A. was last updated on March 30, 2016. 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.