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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROFESSIONAL DENTAL ALLIANCE OF ST. AUGUSTINE, PLLC

Active Organization

PROFESSIONAL DENTAL ALLIANCE OF ST. AUGUSTINE, PLLC is a General Dentistry organization located in ST AUGUSTINE, Florida. NPI 1386294072 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ST AUGUSTINE, FL

Registration Details

NPI Number
1386294072
Provider Type
Organization
NPI Issued
Sep 16, 2019 (6.7269407212039 yrs)
Last Updated
Sep 16, 2019

Practice Information

Address
2225 A1A S STE A3
ST AUGUSTINE, FL, 320806374
Browse FL providers · Browse ZIP 32080
Phone
9042013442
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.