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DR. JUAN KEVIN PACKER D.M.D.
NPI 1881610855
Dentist - General Practice in Port St Lucie, FL

Active since July 14, 2006
1321 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986(772) 343-0179 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Juan Kevin Packer D.m.d. NPPES

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

DR. JUAN KEVIN PACKER D.M.D. (NPI 1881610855) is an individual general practice provider in Port St Lucie, Florida, licensed in Florida (DN18188) and active in the NPI registry since July 2006. He maintains a secondary practice location in Tahlequah.

NPPES Registry Identity

NPI1881610855
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUAN KEVIN PACKERCredential: D.M.D.
Location Address1321 NW SAINT LUCIE WEST BLVDPort St Lucie, FL 34986-2139
Mailing Address2188 Sw 176th TerMiramar, FL 33029-5258 · (954) 612-4509
Phone(772) 343-0179
Sole ProprietorYes
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1881610855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN18188
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.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License 3046-98 (MS)
1321 NW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
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Secondary Practice Location 1

Location 1100 S Bliss AveTahlequah, OK 74464-2512 · Phone (918) 458-3150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

MRS. DAMARIS WEAVER RDH
Dental Hygienist
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 343-0179
DR. ARGHAVAN BAHRAMNEJAD DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 343-0179
ERIKA ANN BAILEY DMD
Dentist
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 343-0179
ADRIANA HERNANDEZ CORRALES DMD
Dentist
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 343-0179
MEGAN ARELLANO HANVIVATPONG DDS
Dentist (General Practice)
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 343-0179
COAST DENTAL P.A.
Dentist
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 343-0179

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 Juan Packer's NPI number?

The NPI number for Juan Packer is 1881610855. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Juan Packer located?

Juan Packer practices at 1321 NW Saint Lucie West Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 343-0179.

What is Juan Packer's specialty?

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

What insurance does Juan Packer accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Juan Packer 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 Juan Packer was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.