AEGEAN DENTAL OF PORT ST LUCIE, LLC
NPI 1619372760
Dentist in Port St Lucie, FL

Q: What is Aegean Dental Of Port St Lucie, LLC's NPI number?

The NPI number for Aegean Dental Of Port St Lucie, LLC is 1619372760. It was assigned to this organization in the NPPES registry on October 31, 2014.

Q: What is Aegean Dental Of Port St Lucie, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 31, 2014

308 NW BETHANY DR, PORT ST LUCIE, FL 34986(772) 344-4356 Get Directions Write a Review

NPPES record last updated: October 31, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Aegean Dental Of Port St Lucie, Llc NPPES

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

AEGEAN DENTAL OF PORT ST LUCIE, LLC (NPI 1619372760) is a healthcare organization registered as a dentist in Port St Lucie, Florida and active in the NPI registry since October 2014. The organization lists George Soropoulos, Manager, as its authorized official.

NPPES Registry Identity

NPI1619372760

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameAEGEAN DENTAL OF PORT ST LUCIE, LLC

Location Address308 NW BETHANY DRPort St Lucie, FL 34986-3578

Mailing Address2151 Nw 2nd Ave, 101Boca Raton, FL 33431-6771 · (561) 395-1486

Phone(772) 344-4356

Organization SubpartNo

Authorized OfficialGeorge SoropoulosManager · (561) 395-1486

Enumeration DateOctober 31, 2014

✔ NPI 1619372760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN15874

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

308 NW BETHANY DR, Port St Lucie, FL 34986

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

JAISANVI PA

Clinic/Center (Dental)

308 NW BETHANY DR
PORT ST LUCIE, FL 34986

St. Lucie County (772) 247-6750

DR. EMANUEL ISRAEL DDS

Dentist

308 NW BETHANY DR
PORT ST LUCIE, FL 34986

St. Lucie County (772) 210-3982

DR. ELAD MIRMAN DMD

Dentist

308 NW BETHANY DR
PORT SAINT LUCIE, FL 34986

St. Lucie County (772) 210-3928

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 Aegean Dental Of Port St Lucie, LLC's NPI number?

The NPI number for Aegean Dental Of Port St Lucie, LLC is 1619372760. It was assigned to this organization in the NPPES registry on October 31, 2014.

Where is Aegean Dental Of Port St Lucie, LLC located?

Aegean Dental Of Port St Lucie, LLC is located at 308 NW Bethany Dr, Port St Lucie, FL 34986. The listed phone number is (772) 344-4356.

What is Aegean Dental Of Port St Lucie, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Aegean Dental Of Port St Lucie, LLC was last updated on October 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.