OrganizationActive
St. Johns River Dental
NPI 1790024248 · General Practice Dentistry · Palatka, FL
St. Johns River Dental is a General Practice Dentistry organization in Palatka, FL (NPI 1790024248).
Provider details
- NPI number
- 1790024248
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Derek Morris, Owner(386) 325-5467
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
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
500 S Highway 19
Palatka, FL 32177-3943
Phone: (386) 325-5467
Fax: (386) 325-2635
Approximate (ZIP-level) locationGet directions
Mailing address
500 S Highway 19
Palatka, FL 32177-3943
Registry dates
- Enumerated
- 2013-02-04
- Last updated
- 2013-02-04
Frequently asked questions
- What is St. Johns River Dental's NPI number?
- St. Johns River Dental's National Provider Identifier (NPI) is 1790024248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Johns River Dental?
- St. Johns River Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is St. Johns River Dental located?
- St. Johns River Dental's practice location on file with NPPES is 500 S Highway 19, Palatka, FL 32177-3943.
- What is St. Johns River Dental's phone number?
- The practice phone number listed in the NPPES registry for St. Johns River Dental is (386) 325-5467.
- Who is the authorized official for St. Johns River Dental?
- The authorized official listed on St. Johns River Dental's NPPES record is Derek Morris, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Johns River Dental's NPI active?
- Yes — St. Johns River Dental's NPI (1790024248) is active in the NPPES registry as of the last update on 2013-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.