BALANCED DENTAL NPI 1588187819

NPI Information

NPI: 1588187819
Provider Name: BALANCED DENTAL

Doing Business As: BALANCED DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
900 SE OCEAN BLVD STE 110B
STUART, FL
ZIP 34994
Phone: (954) 818-6102
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BALANCED DENTAL is a dental clinic center in Stuart, FL. BALANCED DENTAL NPI is 1588187819. The provider is registered as an organization entity type.
The provider Is Doing Business As Balanced Dental.

The provider's business location address is:

900 SE OCEAN BLVD STE 110B
STUART, FL
ZIP 34994-503
Phone: (954) 818-6102

The provider's authorized official is David Creston Jackson .
The authorized official title is President and has the following contact phone number (772) 247-2407.

The enumeration date for this NPI number is 7/18/2017 and was last updated on 10/8/2017.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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