Reza Ardalan Dmd Pa

LBN: Reza Ardalan Dmd Pa
Reza Ardalan Dmd Pa is an health care organization with primary practice located at 130 Sw Chamber Ct , Port Saint Lucie FL 34986-3496. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Reza Ardalan Dmd Pa can be contacted via phone (772) 344-4664, or through Ardalan, Kimberly M via phone (772) 344-4664.

Contact Information

Primary practice address
130 Sw Chamber Ct Port Saint Lucie FL 34986-3496
Phone: (772) 344-4664
Fax: (772) 621-4498
Website:
Map and Directions
Authorized official contact:
Name: Ardalan, Kimberly M
Phone: (772) 344-4664

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1356274542
LBN Legal business name Reza Ardalan Dmd Pa
DBA Doing business as
Authorized official Ardalan, Kimberly M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2026
Last updated Jun 5th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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