OrganizationActive
Boulevard Center for Advanced Dentistry
NPI 1275906232 · Dental Clinic/Center · Port St Lucie, FL
Provider details
- NPI number
- 1275906232
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerome Vitale, Dentist/Owner(772) 337-1111
- License
- DN13975 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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.
Practice location
1343 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5366
Phone: (772) 337-1111
Street-level locationGet directions
Mailing address
1343 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5366
Registry dates
- Enumerated
- 2015-11-12
- Last updated
- 2015-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.