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

Reza Ardalan DMD PA

Organization Pediatric Dentistry · NPI 1356274542

Reza Ardalan DMD PA is a Pediatric Dentistry in Port Saint Lucie, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

130 SW Chamber Ct
Port Saint Lucie, FL 34986-3496
Phone: (772) 344-4664
Fax: (772) 621-4498
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1356274542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Ardalan — Cfo · (772) 344-4664
NPI enumeratedJune 5, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address130 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496