Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Banyan Dental Svc Psl, LLC

General Practice Dentistry in Port Saint Lucie, FL · enumerated 2014 · authorized official Jade Thomas, Owner.

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

National Provider Identifier

1740603380

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Registry record

Entity type Organization (Type 2)

Legal business name Banyan Dental Svc Psl, LLC

Practice address 1707 Nw St. Lucie W. Blvd, #126, Port Saint Lucie, FL, 34986

Phone (772) 344-3300

Fax (772) 344-3301

Enumeration date Feb 3, 2014

Last updated in NPPES Feb 3, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License DN16485 (FL) Primary

Authorized official

Name Jade Thomas

Title Owner

Phone (772) 344-3300

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Banyan Dental Svc Psl, LLC located?

The practice location on file with NPPES is in Port Saint Lucie, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-02-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-03.