OrganizationActive
Ponte Vedra Pediatric Dentistry and Orthodontics
NPI 1194191692 · Pediatric Dentistry · Ponte Vedra, FL
Provider details
- NPI number
- 1194191692
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lindsay Maples, Owner(904) 880-5437
- License
- DN18271 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
480 Town Plaza Avenue
Suite 110
Ponte Vedra, FL 32081
Phone: (904) 880-5437
Fax: (904) 880-1490
Street-level locationGet directions
Mailing address
480 Town Plaza Avenue
Ponte Vedra, FL 32081
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2015-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.