NEW IMAGE DENTISTRY WEST MELBOURNE
NPI 1215416045
Dentist - General Practice in Melbourne, FL

Active since August 13, 2018
2025 W NEW HAVEN AVE, MELBOURNE, FL 32904(321) 956-5664 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Image Dentistry West Melbourne NPPES

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

NEW IMAGE DENTISTRY WEST MELBOURNE (NPI 1215416045) is a healthcare organization registered as a general practice in Melbourne, Florida and active in the NPI registry since August 2018. The organization lists Annette Marlow, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1215416045
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF WEST MELBOURNE, PLLC
Location Address2025 W NEW HAVEN AVEMelbourne, FL 32904-3801
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (724) 698-2500
Organization SubpartNo
Authorized OfficialAnnette MarlowCredentialing Supervisor · (724) 698-2119
Enumeration DateAugust 13, 2018
NPI 1215416045 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.
2025 W NEW HAVEN AVE, Melbourne, FL 32904

Other Names 1

Doing Business AsNew Image Dentistry West Melbourne

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2025 W NEW HAVEN AVE
MELBOURNE, FL 32904
Dentist (General Practice)
2025 W NEW HAVEN AVE
MELBOURNE, FL 32904

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 West Melbourne, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of West Melbourne, PLLC is 1215416045. It was assigned to this organization in the NPPES registry on August 13, 2018. The provider is doing business as New Image Dentistry West Melbourne.

Where is Professional Dental Alliance Of West Melbourne, PLLC located?

Professional Dental Alliance Of West Melbourne, PLLC is located at 2025 W New Haven Ave, Melbourne, FL 32904. The listed phone number is (321) 956-5664.

What is Professional Dental Alliance Of West Melbourne, PLLC's specialty?

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

What insurance does Professional Dental Alliance Of West Melbourne, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Professional Dental Alliance Of West Melbourne, PLLC 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 Professional Dental Alliance Of West Melbourne, PLLC was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.