Organization
PONTE VEDRA ORTHODONTICS LLC
Active
Organization
PONTE VEDRA ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRIAN REFUERZO (BILLING MANAGER)
(321) 609-7241
Entity
Organization
Contact information
Practice address
3109 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL 32082-5032
(904) 273-9115
(904) 871-8116
Mailing address
3109 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL 32082-5032
(904) 273-9115
(904) 871-8116
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
06/16/2026
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