Goldtree Endo
Organization Active NPI Endodontics · Port St Lucie, FL
NPI 1700518446 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1700518446
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- Legal business name
- GOLDTREE ENDO
- Practice address
- 1400 SE Goldtree Dr Ste 105
Port St Lucie, FL 34952-7582 - Phone
- (772) 446-0156
- Fax
- (772) 333-2992
- NPI assigned
- Jun 30, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Juan Savelli, DMD, MSD
- Title
- President
- Phone
- (772) 223-4646
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | Yes |
Addresses
Primary practice location
1400 SE Goldtree Dr Ste 105
Port St Lucie, FL 34952-7582
Mailing address
1400 SE Goldtree Dr Ste 105
Port St Lucie, FL 34952-7582
Phone (772) 446-0156
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.