Ponce De Leon Family Dentistry
NPI 1801059480 · Dental Clinic/Center · Saint Augustine, FL
Ponce De Leon Family Dentistry is a Dental Clinic/Center organization in Saint Augustine, FL (NPI 1801059480).
Provider details
- NPI number
- 1801059480
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theodore Haeussner, Dentist(904) 797-8247
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-07-03
- Last updated
- 2008-07-03
Frequently asked questions
- What is Ponce De Leon Family Dentistry's NPI number?
- Ponce De Leon Family Dentistry's National Provider Identifier (NPI) is 1801059480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponce De Leon Family Dentistry?
- Ponce De Leon Family Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ponce De Leon Family Dentistry located?
- Ponce De Leon Family Dentistry's practice location on file with NPPES is 4 Saint Johns Medical Pk Dr, Saint Augustine, FL 32086-5298.
- What is Ponce De Leon Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Ponce De Leon Family Dentistry is (904) 797-9009.
- Who is the authorized official for Ponce De Leon Family Dentistry?
- The authorized official listed on Ponce De Leon Family Dentistry's NPPES record is Theodore Haeussner, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponce De Leon Family Dentistry's NPI active?
- Yes — Ponce De Leon Family Dentistry's NPI (1801059480) is active in the NPPES registry as of the last update on 2008-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.