Organization · Type 2 NPI

TDC Port St. Lucie LLC

General Practice Dentistry · Port St. Lucie, FL

NPI number 1003471459 Active

Practice location

1161 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5332

Mailing address

8794 W Boynton Beach Blvd Ste 110
Boynton Beach, FL 33472-4468

Specialties and licenses

TaxonomyCodeLicense
Endodontics 1223E0200XNone listed
General Practice Dentistry Primary 1223G0001XNone listed
Periodontics 1223P0300XNone listed

General Practice Dentistry: 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.

2 other providers at this address

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About NPI 1003471459

TDC Port St. Lucie LLC's National Provider Identifier is 1003471459, issued on May 1, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 1, 2019.