The Village Dentist
The Village Dentist is a healthcare organization registered as General Practice Dentistry in St Augustine, FL, holding Type 2 (organization) NPI 1205132503 since 2011. The authorized official on file is Michele Gibson, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205132503 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | The Village Dentist |
| Practice address | 425 W TOWN PL, SUITE 106, St Augustine, FL, 32092 |
| Phone | 9049407990 |
| Fax | 9049407991 |
| Enumeration date | 2011-02-03 |
| Last updated in NPPES | 2011-02-03 |
Authorized official
| Name | Michele Gibson |
|---|---|
| Title | Office Manager |
| Phone | 9049407990 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DN11714 | FL |
Copy-ready billing details
Provider: The Village Dentist NPI: 1205132503 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 425 W TOWN PL, SUITE 106, St Augustine, FL, 32092
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841494077 | Kenneth Berry | Individual | Chiropractor | St Augustine, FL |
| 1407042781 | Village Chiropractic Center of | Organization | Chiropractor | Saint Augustine, FL |
Verify this record
Cross-check NPI 1205132503 against the authoritative CMS record: view The Village Dentist on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is The Village Dentist located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-02-03.