NPI 1093448565

Justin McBride, DMD

Practitioner General Practice Dentistry Port Saint Lucie, FL

Practice location

Address: 1679 NW Saint Lucie West Blvd, Port Saint Lucie, FL 34986-2106
Phone: (772) 224-3090
Mailing address: 12341 SW Arabella Dr, Port Saint Lucie, FL 34987-7728

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 28388 (FL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1093448565
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2022
Record last updated: 8 Aug 2023

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.