Polished Dental Professionals, PLLC
Dentist, General Practice in St Augustine, FL. Organization (NPI-2).
NPI number1386587020
StatusActive
Last updated in NPPESApr 9, 2026
Details
- NPI
- 1386587020
- Entity type
- Organization (NPI-2)
- Legal business name
- Polished Dental Professionals, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2026
- Certification date
- Apr 9, 2026
- Last updated
- Apr 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
46 Tuscan Way Ste 306St Augustine, FL 32092-1849
Phone 904-395-7822 · Fax 904-395-7821
Mailing address
46 Tuscan Way Ste 306St Augustine, FL 32092-1849
Phone 904-395-7822 · Fax 904-395-7821
Authorized official
Justin G Page
Owner Dentist
9043957822
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