NPI 1063871804

Ross Andrew Hauer, DMD

Practitioner Periodontics Port Saint Lucie, FL

Practice location

Address: 1722 SW Saint Lucie West Blvd, Port Saint Lucie, FL 34986-2504
Phone: (772) 337-8600
Mailing address: 101 E Camino Real APT 1041, Boca Raton, FL 33432-6181

Registered specialties (2)

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence DN21896 (FL)

Other Dentist providers in Florida →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence DN21896 (FL)

Registry record

NPI: 1063871804
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2016
Record last updated: 2 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.