Ponte Vedra Cosmetic Dentistry, Pa
Dental Clinic
100 Professional Dr, Ponte Vedra Beach
Florida, 32082-6216
904-285-8407 904-285-5346
Maps & DirectionsPonte Vedra Cosmetic Dentistry, Pa is a Dental Clinic in Ponte Vedra Beach, Florida. It is located at 100 Professional Dr, Ponte Vedra Beach, FL and its contact number is 904-285-8407. The authorized person for Ponte Vedra Cosmetic Dentistry, Pa is Mrs. Kamala Rudolph
who is Practice Administrator of the clinic and their contact number is 904-285-8407.
Ponte Vedra Cosmetic Dentistry, Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Ponte Vedra Cosmetic Dentistry, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ponte Vedra Cosmetic Dentistry, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 100 Professional Dr, Ponte Vedra Beach, Florida, 32082-6216 |
| Phone: | 904-285-8407 |
| Fax: | 904-285-5346 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Kamala Rudolph |
| Position: | Practice Administrator |
| Contact Number: | 904-285-8407 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ponte Vedra Cosmetic Dentistry, Pa clinic are as mentioned below.
| NPI Number: | 1396000329 |
| NPI Enumeration Date: | 05 Jul, 2012 |
| NPI Last Update On: | 05 Jul, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ponte Vedra Cosmetic Dentistry, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ponte Vedra Cosmetic Dentistry, Pa 100 Professional Dr, Ponte Vedra Beach, Florida |
| Zip: | 32082-6216 |
| Phone Number: | 904-285-8407 |
| Fax Number: | 904-285-5346 |
Patients can reach Ponte Vedra Cosmetic Dentistry, Pa at
100 Professional Dr, Ponte Vedra Beach, Florida or can
call to book an appointment on 904-285-8407.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.