Individual provider · Type 1 NPI

Alex Joseph Liboon Rustia, DMD

General Practice Dentistry · St. Augustine, FL

NPI number 1194554535 Active

Practice location

150 Malaga St
St. Augustine, FL 32084-3521

Mailing address

278 Tidal Beach Ave
St. Augustine, FL 32095-0148

Other practice locations

  • 7740 Point Meadows Dr Ste 4, Jacksonville, FL 32256-9180 · (904) 606-6735

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN29444 (FL)

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.

4 other providers at this address

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About NPI 1194554535

Alex Joseph Liboon Rustia, DMD's National Provider Identifier is 1194554535, issued on Aug 1, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 26, 2026.