Provider record
Professional Dental Alliance Of Bayside Lakes, Pllc
The public CMS NPPES listing for Professional Dental Alliance Of Bayside Lakes, Pllc places this General Practice Dentistry record in Palm Bay, FL. The practice address is shown as 3590 Bayside Lakes Blvd Se Ste 1, Palm Bay, FL. NPPES also reports a phone number. Verify details before visiting or calling.
National Plan and Provider Enumeration System
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Reported to NPPES
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Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1346729167
- Entity type
- Organization
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 3590 Bayside Lakes Blvd Se Ste 1
Palm Bay, FL 32909-6866 - Phone
- (321) 984-0044
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- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223G0001X
- Specialty
- General Practice Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026