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PALM VALLEY FAMILY DENTISTRY, PLLC
NPI 1790500908
Dentist - General Practice in Ponte Vedra Beach, FL

Active since November 21, 2024
3791 PALM VALLEY RD STE 205, PONTE VEDRA BEACH, FL 32082(904) 834-2736 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2024, Nov 21, 2024 (2 updates tracked since 2024).

About Palm Valley Family Dentistry, Pllc NPPES

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

PALM VALLEY FAMILY DENTISTRY, PLLC (NPI 1790500908) is a healthcare organization registered as a general practice in Ponte Vedra Beach, Florida and active in the NPI registry since November 2024. The organization lists Mckenzie Worten, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790500908
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePALM VALLEY FAMILY DENTISTRY, PLLC
Location Address3791 PALM VALLEY RD STE 205Ponte Vedra Beach, FL 32082-4180
Mailing Address3791 Palm Valley Rd Ste 205Ponte Vedra Beach, FL 32082-4180 · (904) 834-2736
Phone(904) 834-2736
Organization SubpartNo
Authorized OfficialMckenzie WortenOffice Manager · (904) 834-2736
Enumeration DateNovember 21, 2024
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1790500908 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.
3791 PALM VALLEY RD STE 205, Ponte Vedra Beach, FL 32082
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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.

LILIA JOY TABASSIAN DMD
Dentist
3791 PALM VALLEY RD STE 205
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 834-2736

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 Palm Valley Family Dentistry, PLLC's NPI number?

The NPI number for Palm Valley Family Dentistry, PLLC is 1790500908. It was assigned to this organization in the NPPES registry on November 21, 2024.

Where is Palm Valley Family Dentistry, PLLC located?

Palm Valley Family Dentistry, PLLC is located at 3791 Palm Valley Rd Ste 205, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 834-2736.

What is Palm Valley Family Dentistry, PLLC'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 Palm Valley Family Dentistry, PLLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.