Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225764202 Individual Practitioner Male Practitioner

Dr. Scott Poortinga , DDS

Dentist - General Practice • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. Scott Poortinga, DDS is a registered healthcare professional specializing in Dentist - General Practice in Orange Park, FL. Practice services are available at 767 BLANDING BLVD STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

767 Blanding Blvd Ste 108

Orange Park, FL 320655788

Telephone 9042726244
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Orange Park, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN27403

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Florida Dental License Number
DN27403 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1326229329

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 10, 2026

Registered at 767 BLANDING BLVD STE 108, ORANGE PARK, FL 320655788 (Tel: 9042726244)

📍
Updated Business Mailing Address July 10, 2026

Registered at 767 BLANDING BLVD STE 108, ORANGE PARK, FL 320655788 (Tel: 9042726244)

NPI Profile Active August 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2022

Registered at 1403 DUNN AVE STE 10, JACKSONVILLE, FL 322184870 (Tel: 9048841188)

📍
Updated Business Mailing Address August 02, 2022

Registered at 697 FRIARGATE CT, JACKSONVILLE, FL 322255624 (Tel: 9048841188)

👤
Provider Name / Credentials Updated August 02, 2022

Recorded as SCOTT POORTINGA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2022

Dentist (License #DN27403 in FL)

🟢
Initial NPI Registration & Enumeration August 01, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225764202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2022
Last Update: July 10, 2026
Sole Proprietor: No

Mailing Address

767 Blanding Blvd Ste 108

Orange Park, FL 320655788

Phone: 9042726244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.