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

Dr. Amir Reza Ardalan, DMD

Individual provider Pediatric Dentistry · NPI 1093873820

Dr. Amir Reza Ardalan, DMD is a Pediatric Dentistry in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

130 SW Chamber Ct
Port St 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 · Licence DN16127 (FL)

Record details

NPI number1093873820
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 5, 2006
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

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