Provider record
Suzanne M Ebert DMD, Fagd
The public CMS NPPES listing for Suzanne M Ebert DMD, Fagd places this General Practice Dentistry record in Ponte Vedra Beach, FL. The practice address is shown as 151 Sawgrass Corners Dr, Ponte Vedra Beach, FL. NPPES also reports a phone number. Verify details before visiting or calling.
National Plan and Provider Enumeration System
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Reported to NPPES
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Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1104963826
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 151 Sawgrass Corners Dr, Suite 102
Ponte Vedra Beach, FL 32082-3553 - Phone
- (904) 543-0568
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- Use the NPI number when comparing this record with CMS NPPES.
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Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223G0001X
- Specialty
- General Practice Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026