RACHELLE ARSENEAU DERMODY DMD - NPI 1447220553 - Dentist in Port St Lucie, FL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

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About Rachelle Arseneau Dermody Dmd NPPES

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

RACHELLE ARSENEAU DERMODY DMD (NPI 1447220553) is an individual pediatric dentistry provider in Port St Lucie, Florida, licensed in Florida (DN14418) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1447220553

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameRACHELLE ARSENEAU DERMODYCredential: DMD

Location Address1100 SW SAINT LUCIE WEST BLVD, SUITE 206Port St Lucie, FL 34986-1780

Mailing Address1100 Sw Saint Lucie West Blvd, Suite 206Port St Lucie, FL 34986-1780 · (772) 879-1879 · Fax (772) 879-2101

Phone(772) 879-1879

Fax(772) 879-2101

Sole ProprietorNo

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJanuary 4, 2008

✔ NPI 1447220553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in FL · DN14418

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.

1100 SW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986

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