MEDICARE: PONTE VEDRA COMPLETE DENTISTRY, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN0010655	FL

General Provider Information

NPI Number	:	1346260155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PONTE VEDRA COMPLETE DENTISTRY, PA

Provider Business Mailing Address
First Line	:	105 SOLANA RD STE A
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-5229
Country	:	US
Telephone Number	:	904-285-7711
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 SOLANA RD STE A
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-5229
Country	:	US
Telephone Number	:	904-285-7711
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC L TOWNSEND
Credential	:	DDS
Telephone Number	:	904-285-7711

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	02/07/2017

Similar Medicare Providers

1306849336 — DR. ERIC L TOWNSEND DDS
Practice Location Address:

105 SOLANA RD , STE A
PONTE VEDRA, FL
32082-5229

Practice Phone: 904-285-7711
Practice Fax: 904-285-3604

1679721286 — DR. KRISTOPHER REX HARTH DMD
Practice Location Address:

105 SOLANA RD STE A
PONTE VEDRA, FL
32082-5229

Practice Phone: 904-285-7711
Practice Fax: 904-285-7895

1407799349 — NEWAZ DIAGNOSTICS PLLC
Practice Location Address:

3109 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL
32082-5032

Practice Phone: 904-273-9115
Practice Fax:

1861010027 — MRS. JAIME OSTENDORF MASOTTI
Practice Location Address:

3058 CYPRESS CREEK DR N
PONTE VEDRA BEACH, FL
32082-3018

Practice Phone: 404-769-3229
Practice Fax:

1134551823 — DR. ZUBAD NEWAZ DDS
Practice Location Address:

3109 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL
32082-5032

Practice Phone: 904-273-9115
Practice Fax: 904-871-8117

1396687232 — RECOVERY KEYS, INC
Practice Location Address:

3304 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL
32082-5035

Practice Phone: 904-551-1394
Practice Fax: 888-770-4284

Directions to “PONTE VEDRA COMPLETE DENTISTRY, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.