PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE PRMA VSTA, PLLC 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. PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE PRMA VSTA, PLLC NPI is 1750948907. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
499 NW PRIMA VISTA BLVD UNIT 107 PORT ST LUCIE, FL ZIP 34983-786 Phone: (772) 336-1500
The provider's authorized official is Jessica Barrette . The authorized official title is Credentialing Specialist and has the following contact phone number (724) 698-2997.
The enumeration date for this NPI number is 5/23/2019 and was last updated on 5/23/2019.
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:
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
NPI Synchronization or Removal
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