What type of organization is Professional Dental Alliance of Prt St Lucie St Lucie, PLLC?

Professional Dental Alliance of Prt St Lucie St Lucie, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).

Who is the authorized official for Professional Dental Alliance of Prt St Lucie St Lucie, PLLC?

The authorized official listed on Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's NPPES record is Jessica Barrette, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

OrganizationActive

Professional Dental Alliance of Prt St Lucie St Lucie, PLLC

NPI 1003473257 · General Practice Dentistry · Port St Lucie, FL

Professional Dental Alliance of Prt St Lucie St Lucie, PLLC is a General Practice Dentistry organization in Port St Lucie, FL (NPI 1003473257).

Provider details

NPI number: 1003473257
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Jessica Barrette, Credentialing Specialist(724) 698-2997

Practice location

1202 Se Port St Lucie Blvd

Port St Lucie, FL 34952-5364

Phone: (772) 335-3088

Street-level locationGet directions

More FL providers

Mailing address

11 S Mill St Ste 200

New Castle, PA 16101-3680

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2019-05-23
Last updated: 2019-05-23

Frequently asked questions

What is Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's NPI number?: Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's National Provider Identifier (NPI) is 1003473257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Professional Dental Alliance of Prt St Lucie St Lucie, PLLC?: Professional Dental Alliance of Prt St Lucie St Lucie, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
Where is Professional Dental Alliance of Prt St Lucie St Lucie, PLLC located?: Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's practice location on file with NPPES is 1202 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5364.
What is Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's phone number?: The practice phone number listed in the NPPES registry for Professional Dental Alliance of Prt St Lucie St Lucie, PLLC is (772) 335-3088.
Who is the authorized official for Professional Dental Alliance of Prt St Lucie St Lucie, PLLC?: The authorized official listed on Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's NPPES record is Jessica Barrette, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's NPI active?: Yes — Professional Dental Alliance of Prt St Lucie St Lucie, PLLC's NPI (1003473257) is active in the NPPES registry as of the last update on 2019-05-23.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions