BLUE WATER DENTAL OF ST. JOHNS is a preferred provider organization in Ponte Vedra, FL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. BLUE WATER DENTAL OF ST. JOHNS NPI is 1821543513. The provider is registered as an organization entity type.
The provider's business location address is:
460 TOWN PLAZA AVE
SUITE 210
PONTE VEDRA, FL
ZIP 32081-139
Phone: (904) 755-1966
The provider's authorized official is David Wallace Sorensen .
The authorized official title is Dentist/owner and has the following contact phone number (904) 755-1966.
The enumeration date for this NPI number is 8/23/2016 and was last updated on 8/23/2016.