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TDC PORT ST. LUCIE LLC
NPI 1003471459
Dentist - General Practice in Port St Lucie, FL

Active since May 01, 2019
1161 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 335-7766 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tdc Port St. Lucie Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TDC PORT ST. LUCIE LLC (NPI 1003471459), doing business as Rivergate Dental, is a healthcare organization registered as a general practice in Port St Lucie, Florida and active in the NPI registry since May 2019. The organization lists Sean Tomalty, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003471459
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTDC PORT ST. LUCIE LLC
Location Address1161 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5332
Mailing Address8794 W Boynton Beach Blvd Ste 110Boynton Beach, FL 33472-4468 · (561) 777-8980
Phone(772) 335-7766
Organization SubpartNo
Authorized OfficialSean TomaltyCeo · (561) 789-6611
Enumeration DateMay 1, 2019
✔ NPI 1003471459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
1161 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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Other Names 1

Doing Business AsRivergate Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Benefits, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSUE DIEUVEILLE DMD
Dentist
1161 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (786) 290-8558
DR. MARK ALLEN EDWARDS DDS
Dentist
1161 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-7766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tdc Port St. Lucie LLC's NPI number?

The NPI number for Tdc Port St. Lucie LLC is 1003471459. It was assigned to this organization in the NPPES registry on May 1, 2019. The provider is doing business as Rivergate Dental.

Where is Tdc Port St. Lucie LLC located?

Tdc Port St. Lucie LLC is located at 1161 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 335-7766.

What is Tdc Port St. Lucie LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tdc Port St. Lucie LLC accept?

Health plans from Solstice Benefits and UnitedHealthcare list Tdc Port St. Lucie LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tdc Port St. Lucie LLC was last updated on May 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.