Scott Poortinga, DDS

General Practice Dentistry · Orange Park, FL

Individual Active NPI

NPI number 1225764202

Practice location

767 Blanding Blvd Ste 108
Orange Park, FL 32065-5788
Phone
(904) 272-6244

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NPI record

NPI
1225764202
Entity type
Individual (Type 1)
Enumeration date
August 1, 2022
Last updated
July 10, 2026
Certified
July 10, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN27403 FL

About Dr. Poortinga

Scott Poortinga, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788. The NPI number 1225764202 was assigned on August 1, 2022 and the record was last updated on July 10, 2026.

Dr. Poortinga lists a license in the registry: #DN27403 (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 Scott Poortinga, DDS?

The NPI number is 1225764202.

What is the phone number of Dr. Poortinga?

The phone number listed for the practice location is (904) 272-6244.

Where is Dr. Poortinga located?

767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788.

What is the taxonomy code for Dr. Poortinga?

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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