Organization
BANYAN DENTAL SVC PSL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE E. THOMAS DDS (OWNER)
(772) 344-3300
Entity
Organization
Contact information
Practice address
1707 NW ST. LUCIE W. BLVD, #126, PORT SAINT LUCIE, FL 34986
(772) 344-3300
(772) 344-3301
Mailing address
1707 NW ST. LUCIE W. BLVD, #126, PORT SAINT LUCIE, FL 34986
(772) 344-3300
(772) 344-3301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16485
FL
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us