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COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
NPI 1821809443
Dentist - General Practice in Ponte Vedra, FL

Active since January 14, 2025
685 CROSSWATER PKWY STE A, PONTE VEDRA, FL 32081(904) 871-3008(904) 871-3009 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Comfortable Care Denta Health Professionals, Pa NPPES

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

COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA (NPI 1821809443), doing business as Pine Lake Dental Care, is a healthcare organization registered as a general practice in Ponte Vedra, Florida and active in the NPI registry since January 2025. The organization lists Juli Renee Mietzner, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1821809443
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Location Address685 CROSSWATER PKWY STE APonte Vedra, FL 32081-0769
Mailing Address685 Crosswater Pkwy Ste APonte Vedra, FL 32081-0769 · (904) 871-3008 · Fax (904) 871-3009
Phone(904) 871-3008
Fax(904) 871-3009
Organization SubpartYes
Authorized OfficialJuli Renee MietznerCredentialing Manager · (217) 540-2100
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1821809443 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.
685 CROSSWATER PKWY STE A, Ponte Vedra, FL 32081
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Other Names 1

Doing Business AsPine Lake Dental Care

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 2

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

CYNTHIA MARTINEZ
Dentist
685 CROSSWATER PKWY STE A
PONTE VEDRA, FL 32081
St. Johns County (904) 686-1400
MELISSA GONZALEZ HERRERA
Dentist (General Practice)
685 CROSSWATER PKWY STE A
PONTE VEDRA, FL 32081
St. Johns County (904) 686-7608

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 Comfortable Care Denta Health Professionals, PA's NPI number?

The NPI number for Comfortable Care Denta Health Professionals, PA is 1821809443. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Pine Lake Dental Care.

Where is Comfortable Care Denta Health Professionals, PA located?

Comfortable Care Denta Health Professionals, PA is located at 685 Crosswater Pkwy Ste A, Ponte Vedra, FL 32081. The listed phone number is (904) 871-3008.

What is Comfortable Care Denta Health Professionals, PA'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 Comfortable Care Denta Health Professionals, PA was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.