Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ideal Dental St Johns Pllc

Dentist in St Johns, FL · enumerated 2024 · authorized official Matthew Doan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073344917

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Ideal Dental St Johns Pllc

Practice address 145 Beachwalk Shore Dr Ste 400, St Johns, FL, 32259

Phone (904) 209-3042

Enumeration date Aug 12, 2024

Last updated in NPPES Sep 11, 2024

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Matthew Doan

Title Owner

Phone (972) 331-8067

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-11. Verify at npiregistry.cms.hhs.gov.

Where is Ideal Dental St Johns Pllc located?

The practice location on file with NPPES is in St Johns, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-11.