Jon Windom, DDS

General Practice Dentistry · St Augustine, FL

Individual Active NPI

NPI number 1205043809

Practice location

1081 a1a Beach Blvd
St Augustine, FL 32080-6733
Phone
(904) 471-3291

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NPI record

NPI
1205043809
Entity type
Individual (Type 1)
Enumeration date
May 16, 2007
Last updated
September 2, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN14686 FL

Mailing address

105 Heritage Cir
Ormond Beach, FL 32174-4208
Phone
(386) 673-1257

About Dr. Windom

Jon Windom, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1081 a1a Beach Blvd, St Augustine, FL 32080-6733. The NPI number 1205043809 was assigned on May 16, 2007 and the record was last updated on September 2, 2015.

Dr. Windom lists a license in the registry: #DN14686 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Windom, DDS?

The NPI number is 1205043809.

What is the phone number of Dr. Windom?

The phone number listed for the practice location is (904) 471-3291.

Where is Dr. Windom located?

1081 a1a Beach Blvd, St Augustine, FL 32080-6733.

What is the taxonomy code for Dr. Windom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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