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

My Dentist of Port St Lucie

Organization Dental Clinic/Center · NPI 1912783150

My Dentist of Port St Lucie is a Dental Clinic/Center in Port St Lucie, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1455 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone: (561) 801-4233
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1912783150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Tomalty — Owner · (561) 633-9676
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateAugust 31, 2023
Mailing address1455 Sw Gatlin Blvd, Port St. Lucie, FL 34953

Other providers in Port St Lucie