NEW IMAGE DENTISTRY BAYSIDE LAKES
NPI 1346729167
Dentist - General Practice in Palm Bay, FL

Active since August 13, 2018
3590 BAYSIDE LAKES BLVD SE STE 1, PALM BAY, FL 32909(321) 984-0044(321) 984-0707 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 Bayside Lakes NPPES

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

NEW IMAGE DENTISTRY BAYSIDE LAKES (NPI 1346729167) is a healthcare organization registered as a general practice in Palm Bay, Florida and active in the NPI registry since August 2018. The organization lists Annette Marlow, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1346729167
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF BAYSIDE LAKES, PLLC
Location Address3590 BAYSIDE LAKES BLVD SE STE 1Palm Bay, FL 32909-6866
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (724) 698-2119
Fax(321) 984-0707
Organization SubpartNo
Authorized OfficialAnnette MarlowCredentialing Supervisor · (724) 698-2119
Enumeration DateAugust 13, 2018
NPI 1346729167 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.
3590 BAYSIDE LAKES BLVD SE STE 1, Palm Bay, FL 32909

Other Names 1

Doing Business AsNew Image Dentistry Bayside Lakes

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

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

Dentist (General Practice)
3590 BAYSIDE LAKES BLVD SE STE 1
PALM BAY, FL 32909

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 Bayside Lakes, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Bayside Lakes, PLLC is 1346729167. It was assigned to this organization in the NPPES registry on August 13, 2018. The provider is doing business as New Image Dentistry Bayside Lakes.

Where is Professional Dental Alliance Of Bayside Lakes, PLLC located?

Professional Dental Alliance Of Bayside Lakes, PLLC is located at 3590 Bayside Lakes Blvd SE Ste 1, Palm Bay, FL 32909. The listed phone number is (321) 984-0044.

What is Professional Dental Alliance Of Bayside Lakes, 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 Bayside Lakes, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Professional Dental Alliance Of Bayside Lakes, 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 Bayside Lakes, 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.