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Blue Water Dental of St. Johns

Preferred Provider Organization in Ponte Vedra, FL · enumerated 2016 · authorized official David Sorensen, Dentist/Owner.

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

National Provider Identifier

1821543513

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Water Dental of St. Johns
Practice address 460 Town Plaza Ave, Suite 210, Ponte Vedra, FL, 32081
Phone (904) 755-1966
Enumeration date Aug 23, 2016
Last updated in NPPES Aug 23, 2016

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License DN20719 (FL) Primary

Authorized official

Name David Sorensen
Title Dentist/Owner
Phone (904) 755-1966

Other identifiers

Identifier Type State Issuer
1831508084 Other FL INDIVIDUAL NPI

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.

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Frequently asked questions

Who is the authorized official for Blue Water Dental of St. Johns?
NPPES lists David Sorensen (Dentist/Owner) as the authorized official for this organization.
What is the NPI number for Blue Water Dental of St. Johns?
The NPI for Blue Water Dental of St. Johns is 1821543513, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-23.