Organization · Type 2 NPI

Professional Dental Alliance of PRT ST Lucie ST Lucie, PLLC

General Practice Dentistry · Port St. Lucie, FL

NPI number 1003473257 Active

Practice location

1202 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5364

Call (772) 335-3088 Map

Mailing address

11 S Mill St Ste 200
New Castle, PA 16101-3680

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone 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.

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About NPI 1003473257

Professional Dental Alliance of PRT ST Lucie ST Lucie, PLLC's National Provider Identifier is 1003473257, issued on May 23, 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 23, 2019.