BANYAN DENTAL SVC PSL, LLC
NPI 1740603380
Dentist - General Practice in Port Saint Lucie, FL

Q: What is Banyan Dental Svc Psl, LLC's NPI number?

The NPI number for Banyan Dental Svc Psl, LLC is 1740603380. It was assigned to this organization in the NPPES registry on February 3, 2014.

Q: What is Banyan Dental Svc Psl, LLC's specialty?

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

Active since February 03, 2014

1707 NW ST. LUCIE W. BLVD, #126, PORT SAINT LUCIE, FL 34986(772) 344-3300(772) 344-3301 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Banyan Dental Svc Psl, Llc NPPES

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

BANYAN DENTAL SVC PSL, LLC (NPI 1740603380) is a healthcare organization registered as a general practice in Port Saint Lucie, Florida and active in the NPI registry since February 2014. The organization lists Jade E. Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1740603380

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBANYAN DENTAL SVC PSL, LLC

Location Address1707 NW ST. LUCIE W. BLVD, #126Port Saint Lucie, FL 34986

Mailing Address1707 Nw St. Lucie W. Blvd, #126Port Saint Lucie, FL 34986 · (772) 344-3300 · Fax (772) 344-3301

Phone(772) 344-3300

Fax(772) 344-3301

Organization SubpartNo

Authorized OfficialJade E. ThomasOwner · (772) 344-3300

Enumeration DateFebruary 3, 2014

✔ NPI 1740603380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN16485

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.

1707 NW ST. LUCIE W. BLVD, Port Saint 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

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 Banyan Dental Svc Psl, LLC's NPI number?

The NPI number for Banyan Dental Svc Psl, LLC is 1740603380. It was assigned to this organization in the NPPES registry on February 3, 2014.

Where is Banyan Dental Svc Psl, LLC located?

Banyan Dental Svc Psl, LLC is located at 1707 NW St. Lucie W. Blvd #126, Port Saint Lucie, FL 34986. The listed phone number is (772) 344-3300.

What is Banyan Dental Svc Psl, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Banyan Dental Svc Psl, LLC was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.