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ISLANDS EDGE DENTAL, LLC
NPI 1861162141
Clinic/Center - Dental in St Augustine, FL

Active since September 17, 2021
1301 PLANTATION ISLAND DR S STE 104B, ST AUGUSTINE, FL 32080(904) 461-5566(904) 461-0084 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Islands Edge Dental, Llc NPPES

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

ISLANDS EDGE DENTAL, LLC (NPI 1861162141), doing business as Island's Edge Family Dentistry, is a healthcare organization registered as a dental in St Augustine, Florida and active in the NPI registry since September 2021. The organization lists Andrew Mullet, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1861162141
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameISLANDS EDGE DENTAL, LLC
Location Address1301 PLANTATION ISLAND DR S STE 104BSt Augustine, FL 32080-3110
Mailing Address1301 Plantation Island Dr S Ste 104bSt Augustine, FL 32080-3110 · (904) 461-5566 · Fax (904) 461-0084
Phone(904) 461-5566
Fax(904) 461-0084
Organization SubpartNo
Authorized OfficialAndrew MulletGeneral Dentist · (904) 461-5566
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1861162141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1301 PLANTATION ISLAND DR S STE 104B, St Augustine, FL 32080
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Other Names 1

Doing Business AsIsland's Edge Family Dentistry

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.

DR. ANDREW STEVEN MULLET DDS
Dentist
1301 PLANTATION ISLAND DR S STE 104B
ST AUGUSTINE, FL 32080
St. Johns County (904) 461-5566
DR. SABRINA WALL D.D.S.
Dentist (General Practice)
1301 PLANTATION ISLAND DR S STE 104B
ST AUGUSTINE, FL 32080
St. Johns County (904) 461-5566

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 Islands Edge Dental, LLC's NPI number?

The NPI number for Islands Edge Dental, LLC is 1861162141. It was assigned to this organization in the NPPES registry on September 17, 2021. The provider is doing business as Island's Edge Family Dentistry.

Where is Islands Edge Dental, LLC located?

Islands Edge Dental, LLC is located at 1301 Plantation Island Dr S Ste 104B, St Augustine, FL 32080. The listed phone number is (904) 461-5566.

What is Islands Edge Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Islands Edge Dental, LLC was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.