STUART PEDIATRIC DENTISTRY P.A. NPI 1043586779

NPI Information

  • NPI: 1043586779
  • Provider Name: STUART PEDIATRIC DENTISTRY, P.A.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 800 SE OCEAN BLVD
    SUITE A
    STUART, FL
    ZIP 34994
  • Phone: (772) 600-5130

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NPI Details

STUART PEDIATRIC DENTISTRY, P.A. is a pediatric dentistry dentist in Stuart, FL. The provider is 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. STUART PEDIATRIC DENTISTRY, P.A. NPI is 1043586779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 SE OCEAN BLVD
SUITE A
STUART, FL
ZIP 34994-448
Phone: (772) 600-5130
Fax: (772) 600-5523

The provider's authorized official is Luis A Matos .
The authorized official title is President and has the following contact phone number (772) 600-5130.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 3/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistNo
21223D0001XDentistDental Public HealthNo
31223E0200XDentistEndodonticsNo
41223G0001XDentistGeneral PracticeNo
51223P0106XDentistOral and Maxillofacial PathologyNo
61223P0300XDentistPeriodonticsNo
71223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
8124Q00000XDental HygienistNo
9126800000XDental AssistantNo
10126900000XDental Laboratory TechnicianNo
111223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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