OrganizationActive
Aegean Dental of Port St Lucie, LLC
NPI 1619372760 · Dentist · Port St Lucie, FL
Aegean Dental of Port St Lucie, LLC is a Dentist organization in Port St Lucie, FL (NPI 1619372760).
Provider details
- NPI number
- 1619372760
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- George Soropoulos, Manager(561) 395-1486
- License
- DN15874 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
308 Nw Bethany Dr
Port St Lucie, FL 34986-3578
Phone: (772) 344-4356
Street-level locationGet directions
Mailing address
2151 Nw 2nd Ave
Boca Raton, FL 33431-6771
Registry dates
- Enumerated
- 2014-10-31
- Last updated
- 2014-10-31
Frequently asked questions
- What is Aegean Dental of Port St Lucie, LLC's NPI number?
- Aegean Dental of Port St Lucie, LLC's National Provider Identifier (NPI) is 1619372760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aegean Dental of Port St Lucie, LLC?
- Aegean Dental of Port St Lucie, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Aegean Dental of Port St Lucie, LLC located?
- Aegean Dental of Port St Lucie, LLC's practice location on file with NPPES is 308 Nw Bethany Dr, Port St Lucie, FL 34986-3578.
- What is Aegean Dental of Port St Lucie, LLC's phone number?
- The practice phone number listed in the NPPES registry for Aegean Dental of Port St Lucie, LLC is (772) 344-4356.
- Who is the authorized official for Aegean Dental of Port St Lucie, LLC?
- The authorized official listed on Aegean Dental of Port St Lucie, LLC's NPPES record is George Soropoulos, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aegean Dental of Port St Lucie, LLC's NPI active?
- Yes — Aegean Dental of Port St Lucie, LLC's NPI (1619372760) is active in the NPPES registry as of the last update on 2014-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.