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SALT RUN FAMILY DENTISTRY, LLC
NPI 1720463714
Dentist - General Practice in Saint Augustine, FL

Active since July 20, 2015
700 ANASTASIA BLVD, SAINT AUGUSTINE, FL 32080(904) 824-3540(904) 824-3541 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Salt Run Family Dentistry, Llc NPPES

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

SALT RUN FAMILY DENTISTRY, LLC (NPI 1720463714) is a healthcare organization registered as a general practice in Saint Augustine, Florida and active in the NPI registry since July 2015. The organization lists Vincent Michael Leth, Owner, as its authorized official.

NPPES Registry Identity

NPI1720463714
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSALT RUN FAMILY DENTISTRY, LLC
Location Address700 ANASTASIA BLVDSaint Augustine, FL 32080-4616
Mailing Address700 Anastasia BlvdSaint Augustine, FL 32080-4616 · (904) 824-3540 · Fax (904) 824-3541
Phone(904) 824-3540
Fax(904) 824-3541
Organization SubpartNo
Authorized OfficialVincent Michael LethOwner · (904) 824-3540
Enumeration DateJuly 20, 2015
✔ NPI 1720463714 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 · DN18649
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.
700 ANASTASIA BLVD, Saint Augustine, FL 32080
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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

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.

DACIA LYNN SPRENGER CRDH
Dental Hygienist
700 ANASTASIA BLVD
ST AUGUSTINE, FL 32080
St. Johns County (904) 824-3540
DR. BERT ANTHONY TAVARY D.D.S.
Dentist (General Practice)
700 ANASTASIA BLVD
ST AUGUSTINE, FL 32080
St. Johns County (904) 824-3540
BERT A TAVARY, D.D.S., P.A.
Dentist
700 ANASTASIA BLVD
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 824-3540

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 Salt Run Family Dentistry, LLC's NPI number?

The NPI number for Salt Run Family Dentistry, LLC is 1720463714. It was assigned to this organization in the NPPES registry on July 20, 2015.

Where is Salt Run Family Dentistry, LLC located?

Salt Run Family Dentistry, LLC is located at 700 Anastasia Blvd, Saint Augustine, FL 32080. The listed phone number is (904) 824-3540.

What is Salt Run Family Dentistry, LLC'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 Salt Run Family Dentistry, LLC was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.