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

Professional Dental Alliance of Lake Washington, PLLC

Organization General Practice Dentistry · NPI 1558840371

Professional Dental Alliance of Lake Washington, PLLC is a General Practice Dentistry in Melbourne, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3226 Lake Washington Rd Ste 16
Melbourne, FL 32934-7620
Phone: (321) 255-1991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1558840371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Marlow — Credentialing Supervisor · (724) 698-2119
Other names New Image Dentistry Lake Washington
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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