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NPI 1194554535

IndividualActive

Alex Joseph Rustia, DMD

NPI 1194554535 · General Practice Dentistry · St Augustine, FL

Provider details

NPI number: 1194554535
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: DN29444 (FL)

Practice location

150 Malaga St

St Augustine, FL 32084-3521

Phone: (904) 829-9024

More FL providers

Mailing address

278 Tidal Beach Ave

St Augustine, FL 32095-0148

Registry dates

Enumerated: 2024-08-01
Last updated: 2026-01-26

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

Alex Joseph Rustia, DMD — NPI 1194554535, St Augustine, FL | NPI Central