AQUIDEL DENTAL SERVICES LLC NPI 1649907809

NPI Information

  • NPI: 1649907809
  • Provider Name: AQUIDEL DENTAL SERVICES, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 11574 SW VILLAGE PKWY
    PORT ST LUCIE, FL
    ZIP 34987
  • Phone: (772) 204-3113

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NPI Details

AQUIDEL DENTAL SERVICES, LLC is a general practice dentist in Port St Lucie, FL. The provider is 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. AQUIDEL DENTAL SERVICES, LLC NPI is 1649907809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11574 SW VILLAGE PKWY
PORT ST LUCIE, FL
ZIP 34987-392
Phone: (772) 204-3113

The provider's authorized official is Myrene Myrene .
The authorized official title is Billing Staff and has the following contact phone number (516) 596-8123.

The enumeration date for this NPI number is 8/6/2022 and was last updated on 8/6/2022.

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
11223G0001XDentistGeneral PracticeYes

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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