Alex Joseph Liboon Rustia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29444 Issued in FL

Practice address

150 Malaga St
St Augustine, FL 32084-3521

Phone

(904) 829-9024

NPI assigned

Aug 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James R Hulfeld D.D.S., P.a.

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1164540548
  NPD (past)
• Smile So Big Flagler PLLC

  • Dental Clinic/Center
  • St Augustine, FL
  • NPI 1942021514
  NPD (past)

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1194554535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 TIDAL BEACH AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950148",
            "telephone_number": "908-670-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MALAGA ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843521",
            "telephone_number": "904-829-9024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7740 Point Meadows Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322569180",
            "country_code": "US",
            "telephone_number": "904-606-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSTIA",
        "first_name": "ALEX JOSEPH",
        "middle_name": "LIBOON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Denea, MD, LLC
• Caitlin Owen Russell
• Helena Russell, APRN
• Valerie A Russell, LCSW
• Kristin Russo
• Ryan Alan Rutledge, CRNA, MS
• RX-Mart Pharmacy LLC
• Jake Ryan
• Sean Collin Ryan
• S S Marathe MD PA

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, 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 Jan 26, 2026; 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.