Dental Arts of St Lucie West Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14323 Issued in FL

Legal business name

DENTAL ARTS OF ST LUCIE WEST INC

Practice address

1420 SW St Lucie West Blvd
Suite 105
Port St Lucie, FL 34986-1709

Phone

(772) 878-7300

Fax

(772) 878-9200

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Todd Lager, DMDNPI 1467563221

Title

President

Phone

(772) 878-7300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Todd Lager, DMD

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1467563221
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053420661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SW ST LUCIE WEST BLVD",
            "address_2": "SUITE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "772-878-7300",
            "fax_number": "772-878-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW ST LUCIE WEST BLVD",
            "address_2": "SUITE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "772-878-7300",
            "fax_number": "772-878-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF ST LUCIE WEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-878-7300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Anne Demetres, MSOTR/L
• Cara Demichael
• Alessandra Feola Demopoulos, BCBA
• Paul Kenneth Dempsey, LCSW MCAP ICADC
• Dennar Dialysis, LLC (Gatlin Kidney Care)
• Dentistry by Design, LLC
• Fransise Derezil
• Rachelle Arseneau Dermody, DMD
• Davene Alexandra Derosier, APRN
• Nadege Dervis, PT

• General Practice Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.