OrganizationActive
Islands Edge Dental, LLC
NPI 1861162141 · Dental Clinic/Center · St Augustine, FL
Islands Edge Dental, LLC is a Dental Clinic/Center organization in St Augustine, FL (NPI 1861162141).
Provider details
- NPI number
- 1861162141
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Mullet, General Dentist(904) 461-5566
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 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
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
1301 Plantation Island Dr S Ste 104b
St Augustine, FL 32080-3110
Phone: (904) 461-5566
Fax: (904) 461-0084
Street-level locationGet directions
Mailing address
1301 Plantation Island Dr S Ste 104b
St Augustine, FL 32080-3110
Other names (DBA / former)
- Doing business as
- Island'S Edge Family Dentistry
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Frequently asked questions
- What is Islands Edge Dental, LLC's NPI number?
- Islands Edge Dental, LLC's National Provider Identifier (NPI) is 1861162141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Islands Edge Dental, LLC?
- Islands Edge Dental, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Islands Edge Dental, LLC located?
- Islands Edge Dental, LLC's practice location on file with NPPES is 1301 Plantation Island Dr S Ste 104b, St Augustine, FL 32080-3110.
- What is Islands Edge Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Islands Edge Dental, LLC is (904) 461-5566.
- Who is the authorized official for Islands Edge Dental, LLC?
- The authorized official listed on Islands Edge Dental, LLC's NPPES record is Andrew Mullet, General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Islands Edge Dental, LLC's NPI active?
- Yes — Islands Edge Dental, LLC's NPI (1861162141) is active in the NPPES registry as of the last update on 2021-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.