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DR. AMIR REZA ARDALAN DMD
NPI 1093873820
Dentist - Pediatric Dentistry in Port St Lucie, FL

Active since December 05, 2006
130 SW CHAMBER CT, PORT ST LUCIE, FL 34986(772) 344-4664(772) 621-4498 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Amir Reza Ardalan Dmd NPPES

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

DR. AMIR REZA ARDALAN DMD (NPI 1093873820) is an individual pediatric dentistry provider in Port St Lucie, Florida, licensed in Florida (DN16127) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1093873820
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AMIR REZA ARDALANCredential: DMD
Location Address130 SW CHAMBER CTPort St Lucie, FL 34986-3496
Mailing Address4416 N Highway A1aHutchinson Island, FL 34949-8208 · (772) 812-8785
Phone(772) 344-4664
Fax(772) 621-4498
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1093873820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN16127
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.
130 SW CHAMBER CT, Port St Lucie, FL 34986
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

REZA ARDALAN DMD PA
Dentist (Pediatric Dentistry)
130 SW CHAMBER CT
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 344-4664
ASHLEY CULVER DMD
Dentist (Pediatric Dentistry)
130 SW CHAMBER CT
PORT ST LUCIE, FL 34986
St. Lucie County (772) 344-4664
CHRISTIE LEEANN MICHAUD DMD
Dentist (Pediatric Dentistry)
130 SW CHAMBER CT
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 344-4664

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 Amir Ardalan's NPI number?

The NPI number for Amir Ardalan is 1093873820. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Amir Ardalan located?

Amir Ardalan practices at 130 SW Chamber Ct, Port St Lucie, FL 34986. The listed phone number is (772) 344-4664.

What is Amir Ardalan's specialty?

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

What insurance does Amir Ardalan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Amir Ardalan 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 Amir Ardalan was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.