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PROFESSIONAL DENTAL ALLIANCE OF PALM BAY PALM BAY RD, PLLC
NPI 1518517077
Dentist - General Practice in Palm Bay, FL

Active since September 17, 2019
1890 PALM BAY RD NE STE 2, PALM BAY, FL 32905(321) 724-5100 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Professional Dental Alliance Of Palm Bay Palm Bay Rd, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF PALM BAY PALM BAY RD, PLLC (NPI 1518517077) is a healthcare organization registered as a general practice in Palm Bay, Florida and active in the NPI registry since September 2019. The organization lists Lauren Howard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1518517077
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF PALM BAY PALM BAY RD, PLLC
Location Address1890 PALM BAY RD NE STE 2Palm Bay, FL 32905-3071
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(321) 724-5100
Organization SubpartNo
Authorized OfficialLauren HowardCredentialing Specialist · (757) 576-5479
Enumeration DateSeptember 17, 2019
✔ NPI 1518517077 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.
1890 PALM BAY RD NE STE 2, Palm Bay, FL 32905
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Solstice Benefits and more.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.

DESTINY FAITH WOLCOTT DMD
Dentist
1890 PALM BAY RD NE STE 2
PALM BAY, FL 32905
Brevard County (321) 724-5100

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 Palm Bay Palm Bay Rd, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Palm Bay Palm Bay Rd, PLLC is 1518517077. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Professional Dental Alliance Of Palm Bay Palm Bay Rd, PLLC located?

Professional Dental Alliance Of Palm Bay Palm Bay Rd, PLLC is located at 1890 Palm Bay Rd NE Ste 2, Palm Bay, FL 32905. The listed phone number is (321) 724-5100.

What is Professional Dental Alliance Of Palm Bay Palm Bay Rd, 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 Palm Bay Palm Bay Rd, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Professional Dental Alliance Of Palm Bay Palm Bay Rd, 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 Palm Bay Palm Bay Rd, PLLC was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.