Welltide Orthodontics Llc
Orthodontics and Dentofacial Clinic
420 Paseo Reyes Dr, St Augustine
Florida, 32095-8558
904-671-6996 904-671-7002
Maps & DirectionsWelltide Orthodontics Llc is a Orthodontics and Dentofacial Clinic in St Augustine, Florida. It is located at 420 Paseo Reyes Dr, St Augustine, FL and its contact number is 904-671-6996. The authorized person for Welltide Orthodontics Llc is Dr. Susan Sara Podray
who is Orthodontist of the clinic and their contact number is 678-787-3863.
Welltide Orthodontics Llc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Welltide Orthodontics Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Welltide Orthodontics Llc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 420 Paseo Reyes Dr, St Augustine,
Florida, 32095-8558 |
| Phone: | 904-671-6996 |
| Fax: | 904-671-7002 |
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: | Dr. Susan Sara Podray |
| Position: | Orthodontist |
| Contact Number: | 678-787-3863 |
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 Welltide Orthodontics Llc clinic are as mentioned below.
| NPI Number: | 1568370104 |
| NPI Enumeration Date: | 01 Sep, 2026 |
| NPI Last Update On: | 01 Sep, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Welltide Orthodontics Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | 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: | Welltide Orthodontics Llc
420 Paseo Reyes Dr,
St Augustine, Florida |
| Zip: | 32095-8558 |
| Phone Number: | 904-671-6996 |
| Fax Number: | 904-671-7002 |
Patients can reach Welltide Orthodontics Llc at
420 Paseo Reyes Dr, St Augustine, Florida or can
call to book an appointment on 904-671-6996.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.