Active NPI
Little Love Pediatric Dentistry and Wellness
- Pediatric Dentistry
- St Augustine, FL
National Provider Identifier
1003612730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- LITTLE LOVE PEDIATRIC DENTISTRY AND WELLNESS
- Practice address
- 50 Silver Forest Dr Ste 108
St Augustine, FL 32092-3836 - Phone
- (904) 206-8809
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Sun
- Title
- Owner
- Phone
- (404) 578-5247
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
50 Silver Forest Dr Ste 108
St Augustine, FL 32092-3836
Mailing address
628 Southern Oak Dr
Ponte Vedra Beach, FL 32081-8368
Phone (904) 206-8809
National Provider Directory
National Provider DirectoryLocations
50 Silver Forest Dr
Ste 108
Saint Augustine, FL 32092
Phone (904) 206-8809
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Jacksonville, FL
- NPI 1588223929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1003612730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 SOUTHERN OAK DR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320818368",
"telephone_number": "904-206-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SILVER FOREST DR STE 108",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923836",
"telephone_number": "904-206-8809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE LOVE PEDIATRIC DENTISTRY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-23",
"status": "A",
"authorized_official_last_name": "SUN",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-578-5247"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.