DENTISTRY BY DESIGN LLC NPI 1700121977

NPI Information

  • NPI: 1700121977
  • Provider Name: DENTISTRY BY DESIGN, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 672 SW PRIMA VISTA BLVD
    202
    PORT ST LUCIE, FL
    ZIP 34983
  • Phone: (772) 905-2741

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NPI Details

DENTISTRY BY DESIGN, 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. DENTISTRY BY DESIGN, LLC NPI is 1700121977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

672 SW PRIMA VISTA BLVD
202
PORT ST LUCIE, FL
ZIP 34983-820
Phone: (772) 905-2741
Fax: (772) 336-8266

The provider's authorized official is Mazin Shikara .
The authorized official title is Owner and has the following contact phone number (561) 932-0995.

The enumeration date for this NPI number is 11/29/2012 and was last updated on 11/29/2012.

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
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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