OrganizationActive
Jacksonville Tongue Tie LLC
NPI 1831858067 · Pediatric Dentistry · Saint Johns, FL
Jacksonville Tongue Tie LLC is a Pediatric Dentistry organization in Saint Johns, FL (NPI 1831858067).
Provider details
- NPI number
- 1831858067
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stacey Veal, Practice Administrator(904) 584-9004
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
196 Everest Ln Ste 1
Saint Johns, FL 32259-4103
Phone: (904) 584-9004
Street-level locationGet directions
Mailing address
196 Everest Ln Ste 1
Saint Johns, FL 32259-4103
Additional practice locations (1)
- 463725 State Road 200 Ste 3Yulee, FL 32097-8671Phone: (904) 849-2400
Registry dates
- Enumerated
- 2021-12-15
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Frequently asked questions
- What is Jacksonville Tongue Tie LLC's NPI number?
- Jacksonville Tongue Tie LLC's National Provider Identifier (NPI) is 1831858067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Tongue Tie LLC?
- Jacksonville Tongue Tie LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Jacksonville Tongue Tie LLC located?
- Jacksonville Tongue Tie LLC's practice location on file with NPPES is 196 Everest Ln Ste 1, Saint Johns, FL 32259-4103.
- What is Jacksonville Tongue Tie LLC's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Tongue Tie LLC is (904) 584-9004.
- Who is the authorized official for Jacksonville Tongue Tie LLC?
- The authorized official listed on Jacksonville Tongue Tie LLC's NPPES record is Stacey Veal, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Tongue Tie LLC's NPI active?
- Yes — Jacksonville Tongue Tie LLC's NPI (1831858067) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.