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Boulevard Center for Advanced Dentistry

Dental Clinic/Center in Port St Lucie, FL · enumerated 2015 · authorized official Jerome Vitale, Dentist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275906232

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Registry record

Entity type Organization (Type 2)
Legal business name Boulevard Center for Advanced Dentistry
Practice address 1343 Se Port St Lucie Blvd, Port St Lucie, FL, 34952
Phone (772) 337-1111
Enumeration date Nov 12, 2015
Last updated in NPPES Nov 12, 2015

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License DN13975 (FL) Primary

Authorized official

Name Jerome Vitale
Title Dentist/Owner
Phone (772) 337-1111

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Boulevard Center for Advanced Dentistry?
Boulevard Center for Advanced Dentistry is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-12.