Organization · Type 2 NPI

Professional Dental Alliance of St. Augustine, PLLC

General Practice Dentistry · St. Augustine, FL

NPI number 1386294072 Active

Practice location

2225 A1A S Ste A3
St. Augustine, FL 32080-6374

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.

3 other providers at this address

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About NPI 1386294072

Professional Dental Alliance of St. Augustine, PLLC's National Provider Identifier is 1386294072, issued on Sep 16, 2019. 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 Sep 16, 2019.