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

Aquidel Dental Services, LLC

Organization General Practice Dentistry · NPI 1649907809

Aquidel Dental Services, LLC is a General Practice Dentistry in Port St Lucie, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

11574 SW Village Pkwy
Port St Lucie, FL 34987-2392
Phone: (772) 204-3113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1649907809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myrene Myrene — Billing Staff · (516) 596-8123
NPI enumeratedAugust 6, 2022
Last updated in NPPESAugust 6, 2022
Certification dateAugust 5, 2022
Mailing address11574 Sw Village Pkwy, Port St Lucie, FL 34987-2392

Other providers in Port St Lucie