Organization · Type 2 NPI

Professional Dental Alliance of PRT ST Lucie Prma Vsta, PLLC

General Practice Dentistry · Port St. Lucie, FL

NPI number 1750948907 Active

Practice location

499 NW Prima Vista Blvd Unit 107
Port St. Lucie, FL 34983-8786

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 1750948907

Professional Dental Alliance of PRT ST Lucie Prma Vsta, PLLC's National Provider Identifier is 1750948907, 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.