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

Professional Dental Alliance of Beachside, PLLC

Organization Dentist · NPI 1669951489

Professional Dental Alliance of Beachside, PLLC provides Dentist services in Indian Harbour Beach, 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

660 E Eau Gallie Blvd Ste 1
Indian Harbour Beach, FL 32937-4252
Phone: (321) 777-7474
Fax: (321) 777-7558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1669951489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Marlow — Credentialing Supervisor · (724) 698-2119
Other names New Image Dentistry Beachside
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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