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Provider record

Professional Dental Alliance Of Florida, Pllc

The public CMS NPPES listing for Professional Dental Alliance Of Florida, Pllc places this General Practice Dentistry record in Port St Lucie, FL. The practice address is shown as 499 Nw Prima Vista Blvd Unit 107, Port St Lucie, FL. NPPES also reports a phone number. Verify details before visiting or calling.

NPI1750938072
Entity typeOrganization
Reported phone(772) 336-1500
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

No affiliation or endorsement implied

We show source-reported CMS NPPES fields.

Confirm details directly with the provider.

NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1750938072
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
499 Nw Prima Vista Blvd Unit 107
Port St Lucie, FL 34983-8786
Phone
(772) 336-1500
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Directions

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Additional practice locations

NPPES reports 6 additional Florida practice locations for this NPI. This page shows up to five source-reported rows and does not map or verify these locations.

NPPES reported
4832 N Kings HwyFort Pierce, FL 34951-2243
Phone
(772) 468-6226
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

15795 Sw 152nd StMiami, FL 33187-5417
Phone
(305) 547-8390
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

16371 Sw 88th StMiami, FL 33196-4942
Phone
(305) 459-3192
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

10696 Sw Village PkwyPort Saint Lucie, FL 34987-2358
Phone
(772) 380-4490
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

1202 Se Port St Lucie BlvdPort St Lucie, FL 34952-5364
Phone
(772) 335-3088
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

Additional source-reported rows are retained in the validated read model but are not shown on this page.

How to verify this record

Use this page as a starting point, then confirm details from primary or direct sources.

  1. Confirm the office address and phone number directly with the provider.
  2. Use the NPI number when comparing this record with CMS NPPES.
  3. Check state licensing sources separately for license status or disciplinary history.
  4. Ask the office about insurance, appointments, services, and availability.

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