IndividualActive
Adam Walters, DMD
NPI 1639582372 · Dentist · Port Saint Lucie, FL
Provider details
- NPI number
- 1639582372
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN20630 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1202 Se Port St Lucie Blvd
Port Saint Lucie, FL 34952-5364
Phone: (772) 335-3088
Approximate (ZIP-level) locationGet directions
Mailing address
1202 Se Port St Lucie Blvd
Port Saint Lucie, FL 34952-5364
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2014-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.