Organization Active NPI

Yazji Dentistry

  • General Practice Dentistry
  • Port Saint Lucie, FL
National Provider Identifier
1417894577
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YAZJI DENTISTRY
Practice address
10430 SW Village Center Dr
Port Saint Lucie, FL 34987-2186
Phone
(772) 785-9515
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Dr. Dounia Yazji, DDSNPI 1073406807
Title
General Dentist
Phone
(772) 785-9515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10430 SW Village Center Dr
Port Saint Lucie, FL 34987-2186

Mailing address

10430 SW Village Center Dr
Port Saint Lucie, FL 34987-2186
Phone (772) 785-9515

National Provider Directory

National Provider Directory

Locations

10430 SW Village Center Dr
Port Saint Lucie, FL 34987
Phone (772) 348-0715

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1417894577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 SW VILLAGE CENTER DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872186",
            "telephone_number": "772-785-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 SW VILLAGE CENTER DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872186",
            "telephone_number": "772-785-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAZJI DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "YAZJI",
        "authorized_official_first_name": "DOUNIA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "772-785-9515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.