1821543513 BLUE WATER DENTAL OF ST. JOHNS
Preferred Provider Organization
Active
Basic Information
- Organization Name
- BLUE WATER DENTAL OF ST. JOHNS
- Enumeration Date
- August 23, 2016
- Last Update
- August 23, 2016
- Authorized Official
- DR. DAVID WALLACE SORENSEN D.M.D.
DENTIST/OWNER
Phone: (904) 755-1966
Practice Location
- Address
- 460 TOWN PLAZA AVE
SUITE 210
PONTE VEDRA, FL 320815139 - Phone
- (904) 755-1966
Mailing Address
- Address
- 334 WILLOW WINDS PKWY
SAINT JOHNS, FL 322597268 - Phone
- (904) 755-1966
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | DN20719 | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831508084 | 01 | FL | INDIVIDUAL NPI |
Frequently Asked Questions
What is BLUE WATER DENTAL OF ST. JOHNS's NPI number?
BLUE WATER DENTAL OF ST. JOHNS's NPI number is 1821543513.
Which doctor has NPI number 1821543513?
The doctor with NPI number 1821543513 is BLUE WATER DENTAL OF ST. JOHNS.
What is BLUE WATER DENTAL OF ST. JOHNS's practice address?
BLUE WATER DENTAL OF ST. JOHNS's practice address is 460 TOWN PLAZA AVE, SUITE 210, PONTE VEDRA, FL, 320815139.
Which doctor practices at 460 TOWN PLAZA AVE, SUITE 210, PONTE VEDRA, FL, 320815139?
BLUE WATER DENTAL OF ST. JOHNS practices at 460 TOWN PLAZA AVE, SUITE 210, PONTE VEDRA, FL, 320815139.
What is BLUE WATER DENTAL OF ST. JOHNS's mailing address?
BLUE WATER DENTAL OF ST. JOHNS's mailing address is 334 WILLOW WINDS PKWY, SAINT JOHNS, FL, 322597268.
What is BLUE WATER DENTAL OF ST. JOHNS's phone number?
BLUE WATER DENTAL OF ST. JOHNS's phone number is (904) 755-1966.
Who is (904) 755-1966?
(904) 755-1966 is the phone number for BLUE WATER DENTAL OF ST. JOHNS.
What is BLUE WATER DENTAL OF ST. JOHNS's specialty?
BLUE WATER DENTAL OF ST. JOHNS's specialty is Preferred Provider Organization.
What type of doctor is BLUE WATER DENTAL OF ST. JOHNS?
BLUE WATER DENTAL OF ST. JOHNS is a Preferred Provider Organization.
Is BLUE WATER DENTAL OF ST. JOHNS a Preferred Provider Organization?
Yes, BLUE WATER DENTAL OF ST. JOHNS is a Preferred Provider Organization.
Is BLUE WATER DENTAL OF ST. JOHNS still practicing?
Yes, BLUE WATER DENTAL OF ST. JOHNS is currently practicing.
Is BLUE WATER DENTAL OF ST. JOHNS accepting new patients?
BLUE WATER DENTAL OF ST. JOHNS may be accepting new patients. Please call their office at (904) 755-1966 to inquire about availability.
Is NPI 1821543513 still active?
Yes, NPI 1821543513 is currently active.
Where does BLUE WATER DENTAL OF ST. JOHNS practice?
BLUE WATER DENTAL OF ST. JOHNS practices in PONTE VEDRA, FL.