Organization Active NPI

Seaside Dental Care PLLC

  • Dental Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1962069138
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEASIDE DENTAL CARE PLLC
Practice address
3725 12TH CT Ste a
Vero Beach, FL 32960-6519
Phone
(772) 410-5818
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Dr. Jan Garcia, DMDNPI 1982016051
Title
Dentist
Phone
(772) 410-5818

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3725 12TH CT Ste a
Vero Beach, FL 32960-6519

Mailing address

3725 12TH CT Ste a
Vero Beach, FL 32960-6519
Phone (772) 410-5818

Other identifiers 1

IdentifierTypeStateIssuer
1982016051OtherFLNPI

National Provider Directory

National Provider Directory

Locations

3725 12th Ct
Ste B
Vero Beach, FL 32960
Phone (772) 562-6880

3725 12th Ct
Ste A
Vero Beach, FL 32960
Phone (772) 410-5818

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": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1962069138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 12TH CT STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606519",
            "telephone_number": "772-410-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 12TH CT STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606519",
            "telephone_number": "772-410-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "772-410-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982016051",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.