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PALM BAY DENTAL CENTER
NPI 1770062465
Dentist - General Practice in Palm Bay, FL

Active since August 13, 2018
1764 PALM BAY RD NE, PALM BAY, FL 32905(321) 725-5512 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palm Bay Dental Center NPPES

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

PALM BAY DENTAL CENTER (NPI 1770062465) is a healthcare organization registered as a general practice in Palm Bay, Florida and active in the NPI registry since August 2018. The organization lists Annette Marlow, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1770062465
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF PALM BAY, PLLC
Location Address1764 PALM BAY RD NEPalm Bay, FL 32905-2904
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (724) 698-2132
Phone(321) 725-5512
Organization SubpartNo
Authorized OfficialAnnette MarlowCredentialing Supervisor · (321) 725-5512
Enumeration DateAugust 13, 2018
✔ NPI 1770062465 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.
1764 PALM BAY RD NE, Palm Bay, FL 32905
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Other Names 1

Doing Business AsPalm Bay Dental Center

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.Insurance ›

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.

DR. HIRAL MUKUNDKUMAR MODI D.M.D
Dentist
1764 PALM BAY RD NE
PALM BAY, FL 32905
Brevard County (321) 725-5512
SUBHASH G REGE M.D.S
Dentist (General Practice)
1764 PALM BAY RD NE
PALM BAY, FL 32905
Brevard County (321) 725-5512
NEW IMAGE DENTISTRY OF PALM BAY ROAD, INC
Dentist
1764 PALM BAY RD NE
PALM BAY, FL 32905
Brevard County (321) 725-5512

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, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Palm Bay, PLLC is 1770062465. It was assigned to this organization in the NPPES registry on August 13, 2018. The provider is doing business as Palm Bay Dental Center.

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

Professional Dental Alliance Of Palm Bay, PLLC is located at 1764 Palm Bay Rd NE, Palm Bay, FL 32905. The listed phone number is (321) 725-5512.

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

Health plans from Ambetter Health and Ambetter of Alabama list Professional Dental Alliance Of Palm Bay, 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, PLLC was last updated on August 13, 2018. 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.