Ponce De Leon Family Dentistry
Dental Office
4 Saint Johns Medical Pk Dr, Saint Augustine
Florida, 32086-5298
904-797-9009 904-797-9057
Maps & DirectionsPonce De Leon Family Dentistry is a renowned Dental office in Saint Augustine, Florida. It is located at 4 Saint Johns Medical Pk Dr, Saint Augustine, FL and its contact number is 904-797-9009. The authorized person for Ponce De Leon Family Dentistry is Dr. Theodore Daniel Haeussner
who is Dentist of the place and their contact number is 904-797-8247.
Ponce De Leon Family Dentistry Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Ponce De Leon Family Dentistry Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ponce De Leon Family Dentistry |
| Specialization: | Dentistry |
| Address: | 4 Saint Johns Medical Pk Dr, Saint Augustine,
Florida, 32086-5298 |
| Phone: | 904-797-9009 |
| Fax: | 904-797-9057 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Theodore Daniel Haeussner |
| Position: | Dentist |
| Contact Number: | 904-797-8247 |
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 Ponce De Leon Family Dentistry Office are as mentioned below.
| NPI Number: | 1801059480 |
| NPI Enumeration Date: | 03 Jul, 2008 |
| NPI Last Update On: | 03 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ponce De Leon Family Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | | | 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: | Ponce De Leon Family Dentistry
4 Saint Johns Medical Pk Dr,
Saint Augustine, Florida |
| Zip: | 32086-5298 |
| Phone Number: | 904-797-9009 |
| Fax Number: | 904-797-9057 |
Patients can reach Ponce De Leon Family Dentistry at
4 Saint Johns Medical Pk Dr, Saint Augustine, Florida or can
call to book an appointment on 904-797-9009.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.