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Tdc Port St. Lucie Llc
Periodontist in Port St Lucie, Florida
NPI 1003471459

Tdc Port St. Lucie Llc is a Periodontist based in Boynton Beach, FL and is specialized in Periodontics. Tdc Port St. Lucie Llc practices in Port St Lucie, FL. The NPI Number for Tdc Port St. Lucie Llc is 1003471459 and holds a License No. (Florida).

The current practice location address for Tdc Port St. Lucie Llc is 1161 Se Port St Lucie Blvd, Port St Lucie, FL and can be reached out via phone at 772-335-7766.

Location: 1161 Se Port St Lucie Blvd, Port St Lucie, FL, 33472-4468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003471459
Provider Name
Tdc Port St. Lucie Llc
Credential
Provider Entity Type
Organization
Address
1161 Se Port St Lucie Blvd, Port St Lucie, FL, 33472-4468
Phone Number
772-335-7766
Fax Number
Provider Enumeration Date
05/01/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1161 Se Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34952-5332
Phone Number
772-335-7766
Fax Number
person
Provider Business Mailing Address Details
Address
1161 Se Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34952-5332
Phone Number
772-335-7766
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
()
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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