Orthodontic Professional Services
Orthodontics and Dentofacial Clinic
1813 Se Port St Lucie Blvd, Port St Lucie
Florida, 34952-5544
772-528-3434 Maps & DirectionsOrthodontic Professional Services is a Orthodontics and Dentofacial Clinic in Port St Lucie, Florida. It is located at 1813 Se Port St Lucie Blvd, Port St Lucie, FL and its contact number is 772-528-3434. The authorized person for Orthodontic Professional Services is Dr. Marcela Matamoros
who is President of the clinic and their contact number is 772-528-3434. The primary license number for Orthodontic Professional Services is DN20300 (Orthodontics and Dentofacial Orthopedics) in Florida.
Orthodontic Professional Services Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Orthodontic Professional Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Orthodontic Professional Services |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 1813 Se Port St Lucie Blvd, Port St Lucie,
Florida, 34952-5544 |
| Phone: | 772-528-3434 |
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: | Dr. Marcela Matamoros |
| Position: | President |
| Contact Number: | 772-528-3434 |
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 Orthodontic Professional Services clinic are as mentioned below.
| NPI Number: | 1669977203 |
| NPI Enumeration Date: | 26 Mar, 2018 |
| NPI Last Update On: | 26 Mar, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Orthodontic Professional Services are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | DN20300 | 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: | Orthodontic Professional Services
1813 Se Port St Lucie Blvd,
Port St Lucie, Florida |
| Zip: | 34952-5544 |
| Phone Number: | -- |
Patients can reach Orthodontic Professional Services at
1813 Se Port St Lucie Blvd, Port St Lucie, Florida or can
call to book an appointment on 772-528-3434.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.