Organization · Type 2 NPI

Banyan Dental SVC Psl, LLC

General Practice Dentistry · Port St. Lucie, FL

NPI number 1740603380 Active

Practice location

1707 NW St. Lucie W. Blvd, #126
Port St. Lucie, FL 34986

Call (772) 344-3300 Map

Fax (772) 344-3301

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN16485 (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.

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About NPI 1740603380

Banyan Dental SVC Psl, LLC's National Provider Identifier is 1740603380, issued on Feb 3, 2014. 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 Feb 3, 2014.