DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC

MEDICARE: PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1912564162
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC
Provider Business Mailing Address
First Line : 11 S MILL ST STE 200
Second Line :
City : NEW CASTLE
State : PA
Zip : 16101-3680
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4832 N KINGS HWY
Second Line :
City : FORT PIERCE
State : FL
Zip : 34951-2243
Country : US
Telephone Number : 772-468-6226
Fax Number :
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : JESSICA BARRETTE
Credential :
Telephone Number : 724-698-2997
Provider Enumeration Date : 05/23/2019
Last Update Date : 05/23/2019

Similar Medicare Providers

1689727620 — DR. SUSAN PARKER SANDERS D.C.
Practice Location Address:
4842 N KINGS HWY
FORT PIERCE, FL
34951-2243
Practice Phone: 772-882-0701
Practice Fax: 888-920-1114
1659580868 — DR. WILLIAM G ANGELOS D.D.S.
Practice Location Address:
4846 N KINGS HWY
FORT PIERCE, FL
34951-2243
Practice Phone: 772-468-6226
Practice Fax: 772-468-6226
1891087961 — DR. ALLEN MICHAEL RUPPERT D.C.
Practice Location Address:
4842 N KINGS HWY
FORT PIERCE, FL
34951-2243
Practice Phone: 772-405-7877
Practice Fax: 772-293-9163
1558654640 — VIGOR CHIROPRACTIC & WELLNESS, LLC
Practice Location Address:
4842 N KINGS HWY
FORT PIERCE, FL
34951-2243
Practice Phone: 772-405-7877
Practice Fax: 772-293-9163
1538453220 — DR. BONNIE LYN RUPPERT D.C.
Practice Location Address:
4842 N KINGS HWY
FORT PIERCE, FL
34951-2243
Practice Phone: 772-405-7877
Practice Fax:
1770096653 — ST. LUCIE INJURY AND HEALTH, LLC
Practice Location Address:
4842 N KINGS HWY
FORT PIERCE, FL
34951-2243
Practice Phone: 772-882-0701
Practice Fax: 888-920-1114

Directions to “PROFESSIONAL DENTAL ALLIANCE OF FT. PIERCE, PLLC ” 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.