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BOULEVARD CENTER FOR ADVANCED DENTISTRY
NPI 1275906232
Clinic/Center - Dental in Port St Lucie, FL

Active since November 12, 2015
1343 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 337-1111 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boulevard Center For Advanced Dentistry NPPES

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

BOULEVARD CENTER FOR ADVANCED DENTISTRY (NPI 1275906232) is a healthcare organization registered as a dental in Port St Lucie, Florida and active in the NPI registry since November 2015. The organization lists Jerome Vitale, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1275906232
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBOULEVARD CENTER FOR ADVANCED DENTISTRY
Location Address1343 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5366
Mailing Address1343 Se Port St Lucie BlvdPort St Lucie, FL 34952-5366
Phone(772) 337-1111
Organization SubpartNo
Authorized OfficialJerome VitaleDentist/owner · (772) 337-1111
Enumeration DateNovember 12, 2015
✔ NPI 1275906232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in FL · DN13975
1343 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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Other Providers at the Same Location NPPES 4

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

DR. JULIE A CROMER DDS
Dentist
1343 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-1111
BOULEVARD DENTAL ASSOCIATES
Dentist
1343 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 337-1111
DR. JOHN S CAIRNS DDS
Dentist (General Practice)
1343 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-1111
DR. JEROME VITALE D.M.D.
Dentist (General Practice)
1343 SE PORT ST LUCIE BLVD
PORT LUCIE, FL 34952
St. Lucie County (772) 337-1111

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 Boulevard Center For Advanced Dentistry's NPI number?

The NPI number for Boulevard Center For Advanced Dentistry is 1275906232. It was assigned to this organization in the NPPES registry on November 12, 2015.

Where is Boulevard Center For Advanced Dentistry located?

Boulevard Center For Advanced Dentistry is located at 1343 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 337-1111.

What is Boulevard Center For Advanced Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Boulevard Center For Advanced Dentistry was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.