Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aegean Dental of Port St Lucie, LLC

Organization Dentist · NPI 1619372760

Aegean Dental of Port St Lucie, LLC is a Dentist in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

308 NW Bethany Dr
Port St Lucie, FL 34986-3578
Phone: (772) 344-4356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN15874 (FL)

Record details

NPI number1619372760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Soropoulos — Manager · (561) 395-1486
NPI enumeratedOctober 31, 2014
Last updated in NPPESOctober 31, 2014
Mailing address2151 Nw 2nd Ave, 101, Boca Raton, FL 33431-6771

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