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

Professional Dental Alliance of Bayside Lakes, PLLC

Organization General Practice Dentistry · NPI 1346729167

Professional Dental Alliance of Bayside Lakes, PLLC provides General Practice Dentistry in Palm Bay, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3590 Bayside Lakes Blvd SE Ste 1
Palm Bay, FL 32909-6866
Phone: (321) 984-0044
Fax: (321) 984-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1346729167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Marlow — Credentialing Supervisor · (724) 698-2119
Other names New Image Dentistry Bayside Lakes
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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