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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093448565

Justin McBride, DMD is a Student in an Organized Health Care Education/Training Program in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1679 NW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-2106
Phone: (772) 224-3090
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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 · Licence 28388 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093448565
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 2, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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