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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REZA ARDALAN DMD PA
NPI 1356274542
Dentist - Pediatric Dentistry in Port Saint Lucie, FL

Active since June 05, 2026
130 SW CHAMBER CT, PORT SAINT LUCIE, FL 34986(772) 344-4664(772) 621-4498 Get Directions Write a Review

NPPES record added: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reza Ardalan Dmd Pa NPPES

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

REZA ARDALAN DMD PA (NPI 1356274542) is a healthcare organization registered as a pediatric dentistry in Port Saint Lucie, Florida and active in the NPI registry since June 2026. The organization lists Kimberly M Ardalan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356274542
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameREZA ARDALAN DMD PA
Location Address130 SW CHAMBER CTPort Saint Lucie, FL 34986-3496
Mailing Address130 Sw Chamber CtPort Saint Lucie, FL 34986-3496 · (772) 344-4664 · Fax (772) 621-4498
Phone(772) 344-4664
Fax(772) 621-4498
Organization SubpartNo
Authorized OfficialKimberly M ArdalanCfo · (772) 344-4664
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1356274542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
130 SW CHAMBER CT, Port Saint Lucie, FL 34986
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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

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.

DR. AMIR REZA ARDALAN DMD
Dentist (Pediatric Dentistry)
130 SW CHAMBER CT
PORT ST LUCIE, FL 34986
St. Lucie County (772) 344-4664
ASHLEY CULVER DMD
Dentist (Pediatric Dentistry)
130 SW CHAMBER CT
PORT ST LUCIE, FL 34986
St. Lucie County (772) 344-4664
CHRISTIE LEEANN MICHAUD DMD
Dentist (Pediatric Dentistry)
130 SW CHAMBER CT
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 344-4664

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 Reza Ardalan Dmd PA's NPI number?

The NPI number for Reza Ardalan Dmd PA is 1356274542. It was assigned to this organization in the NPPES registry on June 5, 2026.

Where is Reza Ardalan Dmd PA located?

Reza Ardalan Dmd PA is located at 130 SW Chamber Ct, Port Saint Lucie, FL 34986. The listed phone number is (772) 344-4664.

What is Reza Ardalan Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Reza Ardalan Dmd PA was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.