Banyan Dental Svc Psl, LLC
NPI 1740603380 · General Practice Dentistry · Port Saint Lucie, FL
Banyan Dental Svc Psl, LLC is a General Practice Dentistry organization in Port Saint Lucie, FL (NPI 1740603380).
Provider details
- NPI number
- 1740603380
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jade Thomas, Owner(772) 344-3300
- License
- DN16485 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-02-03
- Last updated
- 2014-02-03
Frequently asked questions
- What is Banyan Dental Svc Psl, LLC's NPI number?
- Banyan Dental Svc Psl, LLC's National Provider Identifier (NPI) is 1740603380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banyan Dental Svc Psl, LLC?
- Banyan Dental Svc Psl, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Banyan Dental Svc Psl, LLC located?
- Banyan Dental Svc Psl, LLC's practice location on file with NPPES is 1707 Nw St. Lucie W. Blvd, Port Saint Lucie, FL 34986.
- What is Banyan Dental Svc Psl, LLC's phone number?
- The practice phone number listed in the NPPES registry for Banyan Dental Svc Psl, LLC is (772) 344-3300.
- Who is the authorized official for Banyan Dental Svc Psl, LLC?
- The authorized official listed on Banyan Dental Svc Psl, LLC's NPPES record is Jade Thomas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banyan Dental Svc Psl, LLC's NPI active?
- Yes — Banyan Dental Svc Psl, LLC's NPI (1740603380) is active in the NPPES registry as of the last update on 2014-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.