Blue Water Dental of St. Johns
NPI 1821543513 · Preferred Provider Organization · Ponte Vedra, FL
Blue Water Dental of St. Johns is a Preferred Provider Organization organization in Ponte Vedra, FL (NPI 1821543513).
Provider details
- NPI number
- 1821543513
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- David Sorensen, Dentist/Owner(904) 755-1966
- License
- DN20719 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2016-08-23
- Last updated
- 2016-08-23
Frequently asked questions
- What is Blue Water Dental of St. Johns's NPI number?
- Blue Water Dental of St. Johns's National Provider Identifier (NPI) is 1821543513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Dental of St. Johns?
- Blue Water Dental of St. Johns is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Blue Water Dental of St. Johns located?
- Blue Water Dental of St. Johns's practice location on file with NPPES is 460 Town Plaza Ave, Ponte Vedra, FL 32081-5139.
- What is Blue Water Dental of St. Johns's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Dental of St. Johns is (904) 755-1966.
- Who is the authorized official for Blue Water Dental of St. Johns?
- The authorized official listed on Blue Water Dental of St. Johns's NPPES record is David Sorensen, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Dental of St. Johns's NPI active?
- Yes — Blue Water Dental of St. Johns's NPI (1821543513) is active in the NPPES registry as of the last update on 2016-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.