| St. Lucie Family Dental | |
|
10457 S Us Highway 1 Port St Lucie FL 34952-5645 | |
| (772) 236-6394 | |
| Not Available |
| Full Name | St. Lucie Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 10457 S Us Highway 1, Port St Lucie, Florida |
| Authorized Official Name and Position | Allison Varner (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Lucie Family Dental 10457 S Us Highway 1 Port St Lucie FL 34952-5645 Ph: (772) 236-6394 | St. Lucie Family Dental 10457 S Us Highway 1 Port St Lucie FL 34952-5645 Ph: (772) 236-6394 |
| NPI Number | 1023430261 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023430261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20237 (Florida) | Primary |
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