Orthodontic Professional Services
Dentist, Orthodontics and Dentofacial Orthopedics in Port St Lucie, FL. Organization (NPI-2).
Details
- NPI
- 1669977203
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthodontic Professional Services
- Organization subpart
- No
- Enumeration date
- Mar 26, 2018
- Last updated
- Mar 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DN20300 | FL | Yes |
Other names
- Ion Orthodontics (Doing Business As)
Practice location
1813 Se Port St Lucie BlvdPort St Lucie, FL 34952-5544
Phone 772-528-3434
Mailing address
1813 Se Port St Lucie BlvdPort St Lucie, FL 34952-5544
Authorized official
Marcela Matamoros
President
7725283434
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Port St Lucie, FL
- Arghavan Bahramnejad, DMDNPI 1245595222
- Samantha R Bogle, DMDNPI 1770010043
- Martine Ann Decambre, D.D.S.NPI 1104968163
- Alexander Robert Desman, DMD, MSNPI 1942798574
- Desman Orthodontics PANPI 1275385288
- Brian Bernard Jacobus, DDS, MS, PANPI 1134143340
- Ann L Wilson, DDSNPI 1376759613
All 8 Orthodontics and Dentofacial Orthopedics Dentistry providers in Port St Lucie · All 3,747 providers in Port St Lucie
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