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

Stuart Pediatric Dentistry, PA

Organization Dentist · NPI 1043586779

Stuart Pediatric Dentistry, PA is a Dentist in Stuart, Florida. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
11
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 SE Ocean Blvd Ste A
Stuart, FL 34994-2448
Phone: (772) 600-5130
Fax: (772) 600-5523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dentist Taxonomy 122300000X
Public Health Dentistry Taxonomy 1223D0001X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X
Periodontics Taxonomy 1223P0300X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Dental Hygienist Taxonomy 124Q00000X
Dental Assistant Taxonomy 126800000X
Dental Laboratory Technician Taxonomy 126900000X

Record details

NPI number1043586779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Matos — President · (772) 600-5130
NPI enumeratedMarch 27, 2012
Last updated in NPPESMarch 27, 2012
Mailing address800 Se Ocean Blvd, Suite A, Stuart, FL 34994-2448

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