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Islands Edge Dental, LLC

Dental Clinic/Center in St Augustine, FL · enumerated 2021 · authorized official Andrew Mullet, General Dentist.

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

National Provider Identifier

1861162141

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Registry record

Entity type Organization (Type 2)
Legal business name Islands Edge Dental, LLC
Practice address 1301 Plantation Island Dr S Ste 104b, St Augustine, FL, 32080
Phone (904) 461-5566
Fax (904) 461-0084
Enumeration date Sep 17, 2021
Last updated in NPPES Sep 17, 2021

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Andrew Mullet
Title General Dentist
Phone (904) 461-5566

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 Islands Edge Dental, LLC?
NPPES lists Andrew Mullet (General Dentist) as the authorized official for this organization.
What is the NPI number for Islands Edge Dental, LLC?
The NPI for Islands Edge Dental, LLC is 1861162141, 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 2021-09-17.