Healthcare Provider Details

I. General information

NPI: 1588598627
Provider Name (Legal Business Name): ALBERTO A VARGAS DMD MS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 MILITARY TRL STE 110
JUPITER FL
33458-4811
US

IV. Provider business mailing address

4600 MILITARY TRL STE 110
JUPITER FL
33458-4811
US

V. Phone/Fax

Practice location:
  • Phone: 561-775-7007
  • Fax: 561-775-7771
Mailing address:
  • Phone: 561-775-7007
  • Fax: 561-775-7771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERTO VARGAS
Title or Position: OWNER
Credential: DMD
Phone: 561-775-7007