MEDICARE: TOWN CENTRE DENTAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1639315682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN CENTRE DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	10157 S FEDERAL HWY
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-5609
Country	:	US
Telephone Number	:	772-337-1127
Fax Number	:	772-337-1121

Provider Business Practice Location Address
First Line	:	10157 S FEDERAL HWY
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-5609
Country	:	US
Telephone Number	:	772-337-1127
Fax Number	:	772-337-1121

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	AMY BROWN
Credential	:
Telephone Number	:	772-337-1127

Provider Enumeration Date	:	12/22/2008
Last Update Date	:	12/22/2008

Similar Medicare Providers

1932397536 — DR. CHRISTOPHER LAWRENCE PETTERSON D.D.S.
Practice Location Address:

10157 S FEDERAL HWY
PORT ST LUCIE, FL
34952-5609

Practice Phone: 772-337-1127
Practice Fax: 772-337-1121

1013200682 — MURRIN DENTAL MANAGEMENT LLC
Practice Location Address:

10157 S FEDERAL HWY
PORT ST LUCIE, FL
34952-5609

Practice Phone: 772-337-1127
Practice Fax:

1487020319 — PLANES DENTAL ARTS OF PORT SAINT LUCIE
Practice Location Address:

10157 S FEDERAL HWY
PORT SAINT LUCIE, FL
34952-5609

Practice Phone: 772-231-6004
Practice Fax:

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

Directions to “TOWN CENTRE DENTAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.