Professional Dental Alliance of Ft. Pierce, Pllc
NPI #1912564162 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1912564162
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Ft. Pierce, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 23, 2019
- Last Updated
- May 23, 2019
Practice Location
- Address
- 4832 N KINGS HWY
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34951-2243
- Phone
- (772) 468-6226
Authorized Official
- Name
- JESSICA BARRETTE
- Title
- CREDENTIALING SPECIALIST
- Phone
- (724) 698-2997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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