Healthcare Provider Details

I. General information

NPI: 1780708701
Provider Name (Legal Business Name): CENTER FOR SPECIALIZED DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 SE FEDERAL HWY
STUART FL
34994-5738
US

IV. Provider business mailing address

2830 SE FEDERAL HWY
STUART FL
34994-5738
US

V. Phone/Fax

Practice location:
  • Phone: 772-219-2224
  • Fax: 772-219-2216
Mailing address:
  • Phone: 772-219-2224
  • Fax: 772-219-2216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. DOUGLAS SCOTT MOST
Title or Position: OWNER
Credential: DDS
Phone: 772-219-2224