NPI 1114654365 · live from the CMS NPI Registry
A&A Dental Services, LLC
Dentist, General Practice in Port St Lucie, FL. National Provider Identifier 1114654365, active.
NPI record
| NPI | 1114654365 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5477 Nw Saint James Dr, Port St Lucie, FL 34983 |
| Practice phone | 772-323-6900 |
| Enumerated | August 5, 2022 |
| Last updated | August 5, 2022 |
| Authorized official | Myrene Beyrodt, Billing Staff |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.