| Aegean Dental Of Port St Lucie, Llc | |
|
308 Nw Bethany Dr Port St Lucie FL 34986-3578 | |
| (772) 344-4356 | |
| Not Available |
| Full Name | Aegean Dental Of Port St Lucie, Llc |
|---|---|
| Speciality | Dentist |
| Location | 308 Nw Bethany Dr, Port St Lucie, Florida |
| Authorized Official Name and Position | George Soropoulos (MANAGER) |
| Authorized Official Contact | 5613951486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegean Dental Of Port St Lucie, Llc 2151 Nw 2nd Ave 101 Boca Raton FL 33431-6771 Ph: (561) 395-1486 | Aegean Dental Of Port St Lucie, Llc 308 Nw Bethany Dr Port St Lucie FL 34986-3578 Ph: (772) 344-4356 |
| NPI Number | 1619372760 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619372760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15874 (Florida) | Primary |
Tdc Port St. Lucie Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-335-7766 | |
Professional Dental Alliance Of Prt St Lucie St Lucie, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-335-3088 | |
Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Se Port St Lucie Blvd, Sb, Port St Lucie, FL 34952 Phone: 772-335-3088 Fax: 772-398-0041 | |
Murrin Dental Management Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10157 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-337-1127 | |
St. Lucie Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10457 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-236-6394 | |
Dental Arts Of St Lucie West Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Sw St Lucie West Blvd, Suite 105, Port St Lucie, FL 34986 Phone: 772-878-7300 Fax: 772-878-9200 | |
Stranigan, Askeland Dmd. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Bethany Dr, Port St Lucie, FL 34986 Phone: 772-340-0805 Fax: 772-340-0453 |