| Organization Name: | DENTAL ARTS OF ST LUCIE WEST INC |
| NPI Number: | 1053420661 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW TODD LAGER (PRESIDENT) |
| Mailing Address: | 1420 Sw St Lucie West Blvd Suite 105 Port St Lucie |
| State: | FL US |
| Postal Code: | 349861709 |
| Phone Number: | 7728787300 |
| Fax Number: | 7728789200 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223G0001X |
| License Number: | 14323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | General Practice |
| Taxonomy 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. |