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

AEGEAN DENTAL OF PORT ST LUCIE, LLC

Active Organization

AEGEAN DENTAL OF PORT ST LUCIE, LLC is a Dentist organization located in PORT ST LUCIE, Florida. NPI 1619372760 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORT ST LUCIE, FL

Registration Details

NPI Number
1619372760
Provider Type
Organization
NPI Issued
Oct 31, 2014 (11.784694436851 yrs)
Last Updated
Oct 31, 2014
License
DN15874 (FL)

Practice Information

Address
308 NW BETHANY DR
PORT ST LUCIE, FL, 349863578
Browse FL providers · Browse ZIP 34986
Phone
7723444356
Primary Specialty
Dentist
122300000X
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.