ST. JOHNS RIVER DENTAL
NPI 1790024248
Dentist - General Practice in Palatka, FL

Q: What is St. Johns River Dental's NPI number?

The NPI number for St. Johns River Dental is 1790024248. It was assigned to this organization in the NPPES registry on February 4, 2013.

Q: What is St. Johns River Dental's specialty?

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

Active since February 04, 2013

500 S HIGHWAY 19, PALATKA, FL 32177(386) 325-5467(386) 325-2635 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About St. Johns River Dental NPPES

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

ST. JOHNS RIVER DENTAL (NPI 1790024248) is a healthcare organization registered as a general practice in Palatka, Florida and active in the NPI registry since February 2013. The organization lists Derek Ray Morris, Owner, as its authorized official.

NPPES Registry Identity

NPI1790024248

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameST. JOHNS RIVER DENTAL

Location Address500 S HIGHWAY 19Palatka, FL 32177-3943

Mailing Address500 S Highway 19Palatka, FL 32177-3943 · (386) 325-5467 · Fax (386) 325-2635

Phone(386) 325-5467

Fax(386) 325-2635

Organization SubpartNo

Authorized OfficialDerek Ray MorrisOwner · (386) 325-5467

Enumeration DateFebruary 4, 2013

✔ NPI 1790024248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

500 S HIGHWAY 19, Palatka, FL 32177

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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

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

DEREK R MORRIS DDS

Dentist

500 S HIGHWAY 19
PALATKA, FL 32177

Putnam County (386) 325-5467

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 St. Johns River Dental's NPI number?

The NPI number for St. Johns River Dental is 1790024248. It was assigned to this organization in the NPPES registry on February 4, 2013.

Where is St. Johns River Dental located?

St. Johns River Dental is located at 500 S Highway 19, Palatka, FL 32177. The listed phone number is (386) 325-5467.

What is St. Johns River Dental'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 St. Johns River Dental was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.