Ponte Vedra Dental Group

NPI #1336586577 in Ponte Vedra, Florida

Provider Information

NPI Number: 1336586577
Entity Type: Organization
Organization Name: Ponte Vedra Dental Group
Primary Specialty: Dentist
Enumeration Date: May 29, 2013
Last Updated: May 29, 2013

Practice Location

Address: 330 A1A N STE 326
City: Ponte Vedra
State: Florida
ZIP Code: 32082-1827
Phone: (904) 273-8881

Authorized Official

Name: DR. MICHAEL WINTER, D.D.S.
Title: PROVIDER
Phone: (904) 285-8407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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