| Professional Dental Alliance Of Ft. Pierce, Pllc | |
|
4832 N Kings Hwy Fort Pierce FL 34951-2243 | |
| (772) 468-6226 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Ft. Pierce, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4832 N Kings Hwy, Fort Pierce, Florida |
| Authorized Official Name and Position | Jessica Barrette (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Ft. Pierce, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: () - | Professional Dental Alliance Of Ft. Pierce, Pllc 4832 N Kings Hwy Fort Pierce FL 34951-2243 Ph: (772) 468-6226 |
| NPI Number | 1912564162 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912564162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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