Affordable Dentures - Port St. Lucie III, P.a.

Organization Active NPI Dentist · Port St Lucie, FL

NPI 1295194579 · NPPES record last updated Feb 16, 2016

Key facts

NPI
1295194579
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
DN19223 (FL)
Legal business name
AFFORDABLE DENTURES - PORT ST. LUCIE III, P.A.
Practice address
9140 S Federal Hwy
Port St Lucie, FL 34952-3485
Phone
(772) 398-7790
NPI assigned
Feb 16, 2016
Organization subpart
No

Authorized official

Name
Daniel Fenton
Title
DMD/Practice Owner
Phone
(772) 398-7790

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X DN19223 FL Yes

Addresses

Primary practice location

9140 S Federal Hwy
Port St Lucie, FL 34952-3485

Mailing address

9140 S Federal Hwy
Port St Lucie, FL 34952-3485
Phone (772) 398-7790

Other providers in Port St Lucie, FL

All providers in Port St Lucie, FL · Dentist in Florida

Sources for this page

Verify at the official NPI Registry.