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PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE ST LUCIE, PLLC
NPI 1003473257
Dentist - General Practice in Port St Lucie, FL

Active since May 23, 2019
1202 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 335-3088 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Dental Alliance Of Prt St Lucie St Lucie, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE ST LUCIE, PLLC (NPI 1003473257) 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 Jessica Barrette, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1003473257
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE ST LUCIE, PLLC
Location Address1202 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5364
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(772) 335-3088
Organization SubpartNo
Authorized OfficialJessica BarretteCredentialing Specialist · (724) 698-2997
Enumeration DateMay 23, 2019
✔ NPI 1003473257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1202 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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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

Other Providers at the Same Location NPPES 11

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

W & B DENTISTRY PA
Dentist
1202 SE PORT ST LUCIE BLVD, SB
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-3088
DR. BRITTNEY GALLAHER
Dentist (General Practice)
1202 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (850) 602-2501
MELISSA CARRIE GLASER KINDIG
Dentist
1202 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-3088
CAROL MALOCH
Dentist
1202 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-3088
DR. JOHNNY FLORES DDS
Dentist
1202 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-3088
STEVEN KLINE DDS
Dentist
1202 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-3088
DR. MICHAEL TIMOTHY ASTON DMD
Dentist (General Practice)
1202 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-3088
DR. CHRIS MICHAEL NAHAT
Dentist (General Practice)
1202 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-3088

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 Professional Dental Alliance Of Prt St Lucie St Lucie, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Prt St Lucie St Lucie, PLLC is 1003473257. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Professional Dental Alliance Of Prt St Lucie St Lucie, PLLC located?

Professional Dental Alliance Of Prt St Lucie St Lucie, PLLC is located at 1202 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 335-3088.

What is Professional Dental Alliance Of Prt St Lucie St Lucie, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Prt St Lucie St Lucie, PLLC was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.