| Family Dentistry | |
|
1202 Se Port St Lucie Blvd Sb Port St Lucie FL 34952-5364 | |
| (772) 335-3088 | |
| (772) 398-0041 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1202 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Sharon Doughty (RECEPTIONIST) |
| Authorized Official Contact | 7723353088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 1202 Se Port St Lucie Blvd Sb Port St Lucie FL 34952-5364 Ph: (772) 335-3088 | Family Dentistry 1202 Se Port St Lucie Blvd Sb Port St Lucie FL 34952-5364 Ph: (772) 335-3088 |
| NPI Number | 1003992488 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003992488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10226 (Florida) | Primary |
| 122300000X | Dentist | DN16022 (Florida) | Secondary |
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