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

DR. JUAN KEVIN PACKER, D.M.D.

Active Sole Proprietor

DR. JUAN KEVIN PACKER, D.M.D. is a General Dentistry healthcare provider located in PORT ST LUCIE, Florida. NPI 1881610855 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PORT ST LUCIE, FL

Registration Details

NPI Number
1881610855
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2006 (20.064125362879 yrs)
Last Updated
Mar 15, 2021
Licenses
3046-98 (MS)
DN18188 (FL)
Sole Proprietor
Yes

Practice Information

Address
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL, 349862139
Browse FL providers · Browse ZIP 34986
Phone
7723430179
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in PORT ST LUCIE, FL

Name Credential NPI
DR. MICHAEL GERARD COOK D.M.D. 1649208034
DR. ARTURO RICARD D.D.S. 1043237126
MANHAL YAZJI D.D.S. 1699792549
DR. MARIA FERNANDA RICARD D.D.S. 1750301891
SCOTT RANDALL ROSENBERG D.M.D. 1700807146
ANDREW TODD LAGER DMD 1467563221
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.