DR. KEVIN V DIEP DMD
NPI 1093875940
Dentist - General Practice in Port Saint Lucie, FL

Active since December 11, 2006
1761 SE PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL 34952(772) 335-0993 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 3, 2022, Oct 1, 2015 (2 updates tracked since 2015).

About Dr. Kevin V Diep Dmd NPPES

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

DR. KEVIN V DIEP DMD (NPI 1093875940) is an individual general practice provider in Port Saint Lucie, Florida, licensed in Florida (DN16316) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1093875940
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN V DIEPCredential: DMD
Location Address1761 SE PORT SAINT LUCIE BLVDPort Saint Lucie, FL 34952
Mailing Address1761 Se Port St Lucie BlvdPort Saint Lucie, FL 34952-5479 · (772) 335-0993
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1093875940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN16316
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.

1761 SE PORT SAINT LUCIE BLVD, Port Saint Lucie, FL 34952

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093875940, enumerated as an "individual" on December 11, 2006.

The provider is located at 1761 SE PORT SAINT LUCIE BLVD PORT SAINT LUCIE, FL 34952 and the phone number is (772) 335-0993.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Anthem Blue. Please consult your insurance carrier or call the provider to verify.