Search › Florida › 1223G0001X
Juan Packer, D.M.D
NPI 1881610855 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1321 Nw Saint Lucie West Blvd
Port St Lucie, FL 34986 - Phone
- (772) 343-0179
- Organisation at this address
- Coast Dental P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 100 S Bliss Ave, Tahlequah, OK
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223D0001X
- Licence states on file
- MS, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida