Scott Poortinga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27403 Issued in FL

Practice address

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

Phone

(904) 272-6244

NPI assigned

Aug 1, 2022

Last updated

Jul 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blanding Dental Associates P.a.

  • Prosthodontics
  • Orange Park, FL
  • NPI 1013562941
  NPD (past)
• Gerald a Cioffi DMD PA

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1609809615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1225764202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655788",
            "telephone_number": "904-272-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655788",
            "telephone_number": "904-272-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORTINGA",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LICENSE NUMBER",
            "identifier": "DN27403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polly W. Peterson, PH.D.
• Teresa Marie Ponder, PHARM D
• Robert Charles Ponte
• Gabriella Poole
• Regina Poole, LMHC, LPC, LCMHC
• Reed Popp, MD
• Positive Blooms Therapy Services, LLC
• Postural Chiropractic, PLLC
• Merek Rowe Poto, LSW
• Kimberly Potter, PT

• General Practice Dentistry in Orange Park, FL
• Providers in Orange Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.