OrganizationActive
The Village Dentist
NPI 1205132503 · General Practice Dentistry · St Augustine, FL
The Village Dentist is a General Practice Dentistry organization in St Augustine, FL (NPI 1205132503).
Provider details
- NPI number
- 1205132503
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michele Gibson, Office Manager(904) 940-7990
- License
- DN11714 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
425 W Town Pl
Suite 106
St Augustine, FL 32092-3661
Phone: (904) 940-7990
Fax: (904) 940-7991
Street-level locationGet directions
Mailing address
425 W Town Pl
St Augustine, FL 32092-3661
Registry dates
- Enumerated
- 2011-02-03
- Last updated
- 2011-02-03
Frequently asked questions
- What is The Village Dentist's NPI number?
- The Village Dentist's National Provider Identifier (NPI) is 1205132503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Village Dentist?
- The Village Dentist is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is The Village Dentist located?
- The Village Dentist's practice location on file with NPPES is 425 W Town Pl, St Augustine, FL 32092-3661.
- What is The Village Dentist's phone number?
- The practice phone number listed in the NPPES registry for The Village Dentist is (904) 940-7990.
- Who is the authorized official for The Village Dentist?
- The authorized official listed on The Village Dentist's NPPES record is Michele Gibson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Village Dentist's NPI active?
- Yes — The Village Dentist's NPI (1205132503) is active in the NPPES registry as of the last update on 2011-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.