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PROFESSIONAL DENTAL ALLIANCE OF FLORIDA, PLLC
NPI 1750938072
Dentist - General Practice in Port St Lucie, FL

Active since August 21, 2019
499 NW PRIMA VISTA BLVD UNIT 107, PORT ST LUCIE, FL 34983(772) 336-1500 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2023, Aug 21, 2019 (2 updates tracked since 2019).

About Professional Dental Alliance Of Florida, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF FLORIDA, PLLC (NPI 1750938072) is a healthcare organization registered as a general practice in Port St Lucie, Florida and active in the NPI registry since August 2019. The organization maintains 6 additional practice locations and lists Erica Quinteros, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1750938072
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF FLORIDA, PLLC
Location Address499 NW PRIMA VISTA BLVD UNIT 107Port St Lucie, FL 34983-8786
Mailing Address125 Enterprise Dr Ste 200Pittsburgh, PA 15275-1223 · (724) 901-1964
Phone(772) 336-1500
Organization SubpartNo
Authorized OfficialErica QuinterosCredentialing · (724) 901-1964
Enumeration DateAugust 21, 2019
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1750938072 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.
499 NW PRIMA VISTA BLVD UNIT 107, Port St Lucie, FL 34983
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Secondary Practice Locations 6

Location 11202 SE Port St Lucie BlvdPort St Lucie, FL 34952-5364 · Phone (772) 335-3088
Location 210696 SW Village PkwyPort Saint Lucie, FL 34987-2358 · Phone (772) 380-4490
Location 31620 N US Highway 1 Ste 2Tequesta, FL 33469-3241 · Phone (561) 746-3290
Location 416371 SW 88th StMiami, FL 33196-4942 · Phone (305) 459-3192 · Fax (305) 382-5855
Location 515795 SW 152nd StMiami, FL 33187-5417 · Phone (305) 547-8390 · Fax (305) 233-3909
Location 64832 N Kings HwyFort Pierce, FL 34951-2243 · Phone (772) 468-6226

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KERRY D ASTON DMD
Dentist (General Practice)
499 NW PRIMA VISTA BLVD UNIT 107
PORT ST LUCIE, FL 34983
St. Lucie County (772) 336-1500
PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE PRMA VSTA, PLLC
Dentist (General Practice)
499 NW PRIMA VISTA BLVD UNIT 107
PORT ST LUCIE, FL 34983
St. Lucie County (772) 336-1500

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 Florida, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Florida, PLLC is 1750938072. It was assigned to this organization in the NPPES registry on August 21, 2019.

Where is Professional Dental Alliance Of Florida, PLLC located?

Professional Dental Alliance Of Florida, PLLC is located at 499 NW Prima Vista Blvd Unit 107, Port St Lucie, FL 34983. The listed phone number is (772) 336-1500.

What is Professional Dental Alliance Of Florida, 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 Florida, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Professional Dental Alliance Of Florida, 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 Florida, PLLC was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.