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

Professional Dental Alliance of West Melbourne, PLLC

Organization General Practice Dentistry · NPI 1215416045

Professional Dental Alliance of West Melbourne, PLLC provides General Practice Dentistry in Melbourne, 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

2025 W New Haven Ave
Melbourne, FL 32904-3801
Phone: (321) 956-5664
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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 number1215416045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Marlow — Credentialing Supervisor · (724) 698-2119
Other names New Image Dentistry West Melbourne
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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