PONTE VEDRA COSMETIC DENTISTRY, PA is a general practice dentist in Ponte Vedra Beach, FL. The provider is 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. PONTE VEDRA COSMETIC DENTISTRY, PA NPI is 1396000329. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
100 PROFESSIONAL DR
PONTE VEDRA BEACH, FL
ZIP 32082-216
Phone: (904) 285-8407
Fax: (904) 285-5346
The provider's authorized official is Kamala Rudolph .
The authorized official title is Practice Administrator and has the following contact phone number (904) 285-8407.
The enumeration date for this NPI number is 7/5/2012 and was last updated on 7/5/2012.