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PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC
NPI 1912564162
Dentist - General Practice in Fort Pierce, FL

Active since May 23, 2019
4832 N KINGS HWY, FORT PIERCE, FL 34951(772) 468-6226 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Professional Dental Alliance Of Ft. Pierce, Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC (NPI 1912564162) is a healthcare organization registered as a general practice in Fort Pierce, Florida and active in the NPI registry since May 2019. The organization lists Jessica Barrette, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1912564162
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC
Location Address4832 N KINGS HWYFort Pierce, FL 34951-2243
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(772) 468-6226
Organization SubpartNo
Authorized OfficialJessica BarretteCredentialing Specialist · (724) 698-2997
Enumeration DateMay 23, 2019
✔ NPI 1912564162 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.

4832 N KINGS HWY, Fort Pierce, FL 34951
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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

Other Providers at the Same Location NPPES

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

DR. DIANABELL MALDONADO
Dentist
4832 N KINGS HWY
FORT PIERCE, FL 34951
St. Lucie County (772) 468-6226

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 Ft. Pierce, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Ft. Pierce, PLLC is 1912564162. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Professional Dental Alliance Of Ft. Pierce, PLLC located?

Professional Dental Alliance Of Ft. Pierce, PLLC is located at 4832 N Kings Hwy, Fort Pierce, FL 34951. The listed phone number is (772) 468-6226.

What is Professional Dental Alliance Of Ft. Pierce, PLLC'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 Professional Dental Alliance Of Ft. Pierce, PLLC was last updated on May 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.