Banyan Dental Svc Psl, Llc
Dental Clinic
1707 Nw St. Lucie W. Blvd, #126, Port Saint Lucie
Florida, 34986
772-344-3300 772-344-3301
Maps & DirectionsBanyan Dental Svc Psl, Llc is a Dental Clinic in Port Saint Lucie, Florida. It is located at 1707 Nw St. Lucie W. Blvd, #126, Port Saint Lucie, FL and its contact number is 772-344-3300. The authorized person for Banyan Dental Svc Psl, Llc is Jade E. Thomas
who is Owner of the clinic and their contact number is 772-344-3300. The primary license number for Banyan Dental Svc Psl, Llc is DN16485 (General Practice) in Florida.
Banyan Dental Svc Psl, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Banyan Dental Svc Psl, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Banyan Dental Svc Psl, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1707 Nw St. Lucie W. Blvd, #126, Port Saint Lucie,
Florida, 34986 |
| Phone: | 772-344-3300 |
| Fax: | 772-344-3301 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jade E. Thomas |
| Position: | Owner |
| Contact Number: | 772-344-3300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Banyan Dental Svc Psl, Llc clinic are as mentioned below.
| NPI Number: | 1740603380 |
| NPI Enumeration Date: | 03 Feb, 2014 |
| NPI Last Update On: | 03 Feb, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Banyan Dental Svc Psl, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DN16485 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Banyan Dental Svc Psl, Llc
1707 Nw St. Lucie W. Blvd, #126
Port Saint Lucie, Florida |
| Zip: | 34986 |
| Phone Number: | 772-344-3300 |
| Fax Number: | 772-344-3301 |
Patients can reach Banyan Dental Svc Psl, Llc at
1707 Nw St. Lucie W. Blvd, #126, Port Saint Lucie, Florida or can
call to book an appointment on 772-344-3300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.