Individual provider · Type 1 NPI
Amir Reza Ardalan, DMD
Pediatric Dentistry · Port St. Lucie, FL
NPI number
1093873820
Active
Practice location
130 SW Chamber Ct
Port St. Lucie, FL 34986-3496
Fax (772) 621-4498
Mailing address
4416 N Highway A1A
Hutchinson Island, FL 34949-8208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN16127 (FL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
Other pediatric dentistry providers in Port St. Lucie
- Francisco Arias, DDS MS PAPediatric Dentistry Port St. Lucie, FL NPI 1427106483
- Rachelle Arseneau Dermody, DMDPediatric Dentistry Port St. Lucie, FL NPI 1447220553
- Ashley Culver, DMDPediatric Dentistry Port St. Lucie, FL NPI 1487265476
- Christie Leeann Michaud, DMDPediatric Dentistry Port St. Lucie, FL NPI 1922238815
About NPI 1093873820
Amir Reza Ardalan, DMD's National Provider Identifier is 1093873820, issued on Dec 5, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jun 5, 2026.