PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE PLLC NPI 1912564162

NPI Information

PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC is a general practice dentist in Fort Pierce, 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 FT. PIERCE, PLLC NPI is 1912564162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4832 N KINGS HWY
FORT PIERCE, FL
ZIP 34951-243
Phone: (772) 468-6226

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.

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:

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