PSL Dental Management

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PSL DENTAL MANAGEMENT

Practice address

1449 NW Saint Lucie West Blvd
Port St Lucie, FL 34986-1968

Phone

(772) 348-4409

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Sable Bethel

Title

Manager of Operations

Phone

(772) 251-0886

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail M Gankin, DMD

  • Endodontics
  • Tampa, FL
  • NPI 1114112935
  NPD
• Kevin J Luba, DMD

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1801040399
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1245082247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 NW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861968",
            "telephone_number": "772-348-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 NW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861968",
            "telephone_number": "772-348-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 NW Saint Lucie West Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349861968",
            "country_code": "US",
            "telephone_number": "772-251-0886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1453 NW Saint Lucie West Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349861968",
            "country_code": "US",
            "telephone_number": "772-251-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSL DENTAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "SABLE",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "772-251-0886"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mischa N Prophete
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• Psalm 127 LLC
• PSL Atca LLC
• PSL Ortho Spine Corp
• PSL Orthotics, LLC
• PSL Rehabilitation and Healthcare LLC
• Psychotherapeutic Solutions, LLC
• Publix Super Markets Inc

• Dentist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.