OrganizationActive
Professional Dental Alliance of Bayside Lakes, PLLC
NPI 1346729167 · General Practice Dentistry · Palm Bay, FL
Provider details
- NPI number
- 1346729167
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Annette Marlow, Credentialing Supervisor(724) 698-2119
Specialties & taxonomies
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.
Practice location
3590 Bayside Lakes Blvd Se Ste 1
Palm Bay, FL 32909-6866
Phone: (321) 984-0044
Fax: (321) 984-0707
Street-level locationGet directions
Mailing address
11 S Mill St Ste 200
New Castle, PA 16101-3680
Other names (DBA / former)
- Doing business as
- New Image Dentistry Bayside Lakes
Registry dates
- Enumerated
- 2018-08-13
- Last updated
- 2018-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.