Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Aegean Dental of Port St Lucie, LLC

Organization Dentist · NPI 1619372760

Aegean Dental of Port St Lucie, LLC provides Dentist services in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

308 NW Bethany Dr
Port St Lucie, FL 34986-3578 Not confirmed with CMS for 11 years — call before visiting
Phone: (772) 344-4356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN15874 (FL)

Record details

NPI number1619372760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Soropoulos — Manager · (561) 395-1486
NPI enumeratedOctober 31, 2014
Last updated in NPPESOctober 31, 2014
Mailing address2151 Nw 2nd Ave, 101, Boca Raton, FL 33431-6771

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