DR. ALEX JOSEPH LIBOON RUSTIA DMD
NPI 1194554535
Dentist - General Practice in St Augustine, FL

Active since August 01, 2024
150 MALAGA ST, ST AUGUSTINE, FL 32084(904) 829-9024 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Aug 1, 2024 (2 updates tracked since 2024).

About Dr. Alex Joseph Liboon Rustia Dmd NPPES

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

DR. ALEX JOSEPH LIBOON RUSTIA DMD (NPI 1194554535) is an individual general practice provider in St Augustine, Florida, licensed in Florida (DN29444) and active in the NPI registry since August 2024. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1194554535
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALEX JOSEPH LIBOON RUSTIACredential: DMD
Location Address150 MALAGA STSt Augustine, FL 32084-3521
Mailing Address278 Tidal Beach AveSt Augustine, FL 32095-0148 · (908) 670-6108
Sole ProprietorNo
Enumeration DateAugust 1, 2024
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1194554535 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 · DN29444
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.
150 MALAGA ST, St Augustine, FL 32084

Secondary Practice Location 1

Location 17740 Point Meadows Dr Ste 4Jacksonville, FL 32256-9180 · Phone (904) 606-6735

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.

Dentist (General Practice)
150 MALAGA ST
ST AUGUSTINE, FL 32084
Clinic/Center (Dental)
150 MALAGA ST
ST AUGUSTINE, FL 32084
Dentist
150 MALAGA ST
ST AUGUSTINE, FL 32084

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 Alex Joseph Rustia's NPI number?

The NPI number for Alex Joseph Rustia is 1194554535. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Alex Joseph Rustia located?

Alex Joseph Rustia practices at 150 Malaga St, St Augustine, FL 32084. The listed phone number is (904) 829-9024.

What is Alex Joseph Rustia'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 Alex Joseph Rustia was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.