STUART PEDIATRIC DENTISTRY, P.A.
NPI 1043586779
Dentist - Pediatric Dentistry in Stuart, FL

Active since March 27, 2012
800 SE OCEAN BLVD, SUITE A, STUART, FL 34994(772) 600-5130(772) 600-5523 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stuart Pediatric Dentistry, P.a. NPPES

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

STUART PEDIATRIC DENTISTRY, P.A. (NPI 1043586779) is a healthcare organization registered as a pediatric dentistry in Stuart, Florida and active in the NPI registry since March 2012. The organization lists Luis A Matos, President, as its authorized official.

NPPES Registry Identity

NPI1043586779
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTUART PEDIATRIC DENTISTRY, P.A.
Location Address800 SE OCEAN BLVD, SUITE AStuart, FL 34994-2448
Mailing Address800 Se Ocean Blvd, Suite AStuart, FL 34994-2448 · (772) 600-5130 · Fax (772) 600-5523
Fax(772) 600-5523
Organization SubpartNo
Authorized OfficialLuis A MatosPresident · (772) 600-5130
Enumeration DateMarch 27, 2012
NPI 1043586779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedDental AssistantTaxonomy 126800000X
Also ListedDental Laboratory TechnicianTaxonomy 126900000X
800 SE OCEAN BLVD, Stuart, FL 34994

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

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 Stuart Pediatric Dentistry, P.A.'s NPI number?

The NPI number for Stuart Pediatric Dentistry, P.A. is 1043586779. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is Stuart Pediatric Dentistry, P.A. located?

Stuart Pediatric Dentistry, P.A. is located at 800 SE Ocean Blvd Suite A, Stuart, FL 34994. The listed phone number is (772) 600-5130.

What is Stuart Pediatric Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Stuart Pediatric Dentistry, P.A. was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.