HEALTHY SMILES DENTAL OF PORT SAINT LUCIE FL PLLC NPI 1205554300

NPI Information

  • NPI: 1205554300
  • Provider Name: HEALTHY SMILES DENTAL OF PORT SAINT LUCIE FL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 258 SW PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34984
  • Phone: (772) 877-0488

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NPI Details

HEALTHY SMILES DENTAL OF PORT SAINT LUCIE FL PLLC is a dental clinic center in Port Saint Lucie, FL. HEALTHY SMILES DENTAL OF PORT SAINT LUCIE FL PLLC NPI is 1205554300. The provider is registered as an organization entity type.

The provider's business location address is:

258 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34984-044
Phone: (772) 877-0488
Fax: (772) 877-0814

The provider's authorized official is Jacques Benchimol .
The authorized official title is Owner and has the following contact phone number (954) 397-1452.

The enumeration date for this NPI number is 8/16/2022 and was last updated on 8/16/2022.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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