Banyan Dental Svc Psl, LLC
Banyan Dental Svc Psl, LLC is a General Practice Dentistry in Port Saint 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.
Practice location Address checks out
1707 NW St Lucie W Blvd #126Port Saint Lucie, FL 34986
Phone: (772) 344-3300
Fax: (772) 344-3301
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN16485 (FL) |
|---|
Record details
| NPI number | 1740603380 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jade Thomas — Owner · (772) 344-3300 |
| NPI enumerated | February 3, 2014 |
| Last updated in NPPES | February 3, 2014 |
| Mailing address | 1707 Nw St. Lucie W. Blvd, 126, Port Saint Lucie, FL 34986 |
Other providers in Port Saint Lucie
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Aaron Schamback, DMD, PA
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Aca 3Dental, PA
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Dr. Frank Alarcon Marimon, DDS
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Hans Almanzar, DDS
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Dr. Stephen Gary Blank, DDS
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Grant Casto, DDS
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Dr. Joshua Matthew Colkmire, DDS
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