Alex Joseph Liboon Rustia, DMD

General Practice Dentistry · St Augustine, FL

Individual Active NPI

NPI number 1194554535

Practice location

150 Malaga St
St Augustine, FL 32084-3521
Phone
(904) 829-9024

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NPI record

NPI
1194554535
Entity type
Individual (Type 1)
Enumeration date
August 1, 2024
Last updated
January 26, 2026
Certified
January 26, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN29444 FL

Mailing address

278 Tidal Beach Ave
St Augustine, FL 32095-0148
Phone
(908) 670-6108

Other practice locations (1)

  • 7740 Point Meadows Dr Ste 4, Jacksonville, FL 32256-9180 · (904) 606-6735

About Dr. Rustia

Alex Joseph Liboon Rustia, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 150 Malaga St, St Augustine, FL 32084-3521. The NPI number 1194554535 was assigned on August 1, 2024 and the record was last updated on January 26, 2026.

Dr. Rustia lists a license in the registry: #DN29444 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alex Joseph Liboon Rustia, DMD?

The NPI number is 1194554535.

What is the phone number of Dr. Rustia?

The phone number listed for the practice location is (904) 829-9024.

Where is Dr. Rustia located?

150 Malaga St, St Augustine, FL 32084-3521.

What is the taxonomy code for Dr. Rustia?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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