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

Professional Dental Alliance of Prt St Lucie Prma Vsta, PLLC

Organization General Practice Dentistry · NPI 1750948907

Professional Dental Alliance of Prt St Lucie Prma Vsta, PLLC provides General Practice Dentistry in Port St Lucie, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

499 NW Prima Vista Blvd Unit 107
Port St Lucie, FL 34983-8786
Phone: (772) 336-1500
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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 number1750948907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Barrette — Credentialing Specialist · (724) 698-2997
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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