OrganizationActive
Ideal Dental St Johns PLLC
NPI 1073344917 · Dentist · St Johns, FL
Ideal Dental St Johns PLLC is a Dentist organization in St Johns, FL (NPI 1073344917).
Provider details
- NPI number
- 1073344917
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Doan, Owner(972) 331-8067
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
145 Beachwalk Shore Dr Ste 400
St Johns, FL 32259-1168
Phone: (904) 209-3042
Street-level locationGet directions
Mailing address
Po Box 840925
Dallas, TX 75284-0925
Registry dates
- Enumerated
- 2024-08-12
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Ideal Dental St Johns PLLC's NPI number?
- Ideal Dental St Johns PLLC's National Provider Identifier (NPI) is 1073344917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ideal Dental St Johns PLLC?
- Ideal Dental St Johns PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Ideal Dental St Johns PLLC located?
- Ideal Dental St Johns PLLC's practice location on file with NPPES is 145 Beachwalk Shore Dr Ste 400, St Johns, FL 32259-1168.
- What is Ideal Dental St Johns PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ideal Dental St Johns PLLC is (904) 209-3042.
- Who is the authorized official for Ideal Dental St Johns PLLC?
- The authorized official listed on Ideal Dental St Johns PLLC's NPPES record is Matthew Doan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ideal Dental St Johns PLLC's NPI active?
- Yes — Ideal Dental St Johns PLLC's NPI (1073344917) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.