Ponte Vedra Cosmetic Dentistry, PA
NPI 1396000329 · General Practice Dentistry · Ponte Vedra Beach, FL
Ponte Vedra Cosmetic Dentistry, PA is a General Practice Dentistry organization in Ponte Vedra Beach, FL (NPI 1396000329).
Provider details
- NPI number
- 1396000329
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kamala Rudolph, Practice Administrator(904) 285-8407
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-07-05
- Last updated
- 2012-07-05
Frequently asked questions
- What is Ponte Vedra Cosmetic Dentistry, PA's NPI number?
- Ponte Vedra Cosmetic Dentistry, PA's National Provider Identifier (NPI) is 1396000329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponte Vedra Cosmetic Dentistry, PA?
- Ponte Vedra Cosmetic Dentistry, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ponte Vedra Cosmetic Dentistry, PA located?
- Ponte Vedra Cosmetic Dentistry, PA's practice location on file with NPPES is 100 Professional Dr, Ponte Vedra Beach, FL 32082-6216.
- What is Ponte Vedra Cosmetic Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Ponte Vedra Cosmetic Dentistry, PA is (904) 285-8407.
- Who is the authorized official for Ponte Vedra Cosmetic Dentistry, PA?
- The authorized official listed on Ponte Vedra Cosmetic Dentistry, PA's NPPES record is Kamala Rudolph, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponte Vedra Cosmetic Dentistry, PA's NPI active?
- Yes — Ponte Vedra Cosmetic Dentistry, PA's NPI (1396000329) is active in the NPPES registry as of the last update on 2012-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.