AQUIDEL DENTAL SERVICES, LLC
NPI 1649907809
Dentist - General Practice in Port St Lucie, FL

Q: What is Aquidel Dental Services, LLC's NPI number?

The NPI number for Aquidel Dental Services, LLC is 1649907809. It was assigned to this organization in the NPPES registry on August 6, 2022.

Q: What is Aquidel Dental Services, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 06, 2022

11574 SW VILLAGE PKWY, PORT ST LUCIE, FL 34987(772) 204-3113 Get Directions Write a Review

NPPES record last updated: August 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Aquidel Dental Services, Llc NPPES

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

AQUIDEL DENTAL SERVICES, LLC (NPI 1649907809) is a healthcare organization registered as a general practice in Port St Lucie, Florida and active in the NPI registry since August 2022. The organization lists Myrene Myrene, Billing Staff, as its authorized official.

NPPES Registry Identity

NPI1649907809

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameAQUIDEL DENTAL SERVICES, LLC

Location Address11574 SW VILLAGE PKWYPort St Lucie, FL 34987-2392

Mailing Address11574 Sw Village PkwyPort St Lucie, FL 34987-2392

Phone(772) 204-3113

Organization SubpartNo

Authorized OfficialMyrene MyreneBilling Staff · (516) 596-8123

Enumeration DateAugust 6, 2022

NPPES CertifiedAugust 5, 2022

✔ NPI 1649907809 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.

11574 SW VILLAGE PKWY, Port St Lucie, FL 34987

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, UnitedHealthcare.Insurance ›

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 Aquidel Dental Services, LLC's NPI number?

The NPI number for Aquidel Dental Services, LLC is 1649907809. It was assigned to this organization in the NPPES registry on August 6, 2022.

Where is Aquidel Dental Services, LLC located?

Aquidel Dental Services, LLC is located at 11574 SW Village Pkwy, Port St Lucie, FL 34987. The listed phone number is (772) 204-3113.

What is Aquidel Dental Services, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Aquidel Dental Services, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare list Aquidel Dental Services, LLC 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 Aquidel Dental Services, LLC was last updated on August 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.