Ponte Vedra Pediatric Dentistry and Orthodontics
NPI #1194191692 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1194191692
- Entity Type
- Organization
- Organization Name
- Ponte Vedra Pediatric Dentistry and Orthodontics
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 19, 2015
- Last Updated
- Aug 19, 2015
Practice Location
- Address
- 480 TOWN PLAZA AVENUE
- Address 2
- SUITE 110
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081
- Phone
- (904) 880-5437
Authorized Official
- Name
- MRS. LINDSAY G. MAPLES, DMD
- Title
- OWNER
- Phone
- (904) 880-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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