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

Professional Dental Alliance of Prt St Lucie St Lucie, PLLC

Organization General Practice Dentistry · NPI 1003473257

Professional Dental Alliance of Prt St Lucie St Lucie, PLLC is a General Practice Dentistry in Port St Lucie, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

1202 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5364
Phone: (772) 335-3088
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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 number1003473257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Barrette — Credentialing Specialist · (724) 698-2997
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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