JACKSONVILLE TONGUE TIE LLC – Pediatric Dentistry, NPI 1831858067

JACKSONVILLE TONGUE TIE LLC is a healthcare provider. based in Saint johns, Florida. specializing in Pediatric Dentistry. The NPI Number for JACKSONVILLE TONGUE TIE LLC is 1831858067

Main info

Organization
Name
JACKSONVILLE TONGUE TIE LLC
NPI
1831858067
Phone
(904) 584-9004
Address
196 EVEREST LN STE 1
Authorized Official
STACEY VEAL PRACTICE ADMINISTRATOR
Enumeration Date
15 December 2021
Last Update Date
15 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for JACKSONVILLE TONGUE TIE LLC

  • 196 EVEREST LN STE 1

    SAINT JOHNS, FL 322594103

    Phone: (904) 584-9004

    Fax: (904) 347-2011

    Type: Mailing

  • 463725 State Road 200 Ste 3

    Yulee, FL 320978671

    Phone: (904) 849-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32259)

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Reviews

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Frequently asked questions

What federal number belongs to JACKSONVILLE TONGUE TIE LLC?
The federal identifier for JACKSONVILLE TONGUE TIE LLC is NPI 1831858067.
Is JACKSONVILLE TONGUE TIE LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JACKSONVILLE TONGUE TIE LLC work in?
You can think of JACKSONVILLE TONGUE TIE LLC as practicing within Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What location metadata exists for JACKSONVILLE TONGUE TIE LLC?
The page summarizes Saint Johns, Florida for JACKSONVILLE TONGUE TIE LLC; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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