Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194554535 Individual Practitioner Male Practitioner

Dr. Alex Joseph Liboon Rustia , DMD

Dentist - General Practice • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Alex Joseph Rustia, DMD is a registered healthcare professional specializing in Dentist - General Practice in St Augustine, FL. Practice services are available at 150 MALAGA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Malaga St

St Augustine, FL 320843521

Telephone 9048299024
Associated Practice Facility / Clinic
🏢 Smile So Big Flagler Pllc Facility NPI 1942021514

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
44 Specialists

Practicing in St Augustine, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN29444

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

7740 Point Meadows Dr Ste 4

Jacksonville, FL 322569180

Phone: 9046066735

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Marie Pucillo , DMD

Dentist - General Practice

NPI 1730428749

Doctor of Dental Medicine

NPI 1972789725

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 26, 2026

Registered at 150 MALAGA ST, ST AUGUSTINE, FL 320843521 (Tel: 9048299024)

📍
Updated Business Mailing Address January 26, 2026

Registered at 278 TIDAL BEACH AVE, ST AUGUSTINE, FL 320950148 (Tel: 9086706108)

NPI Profile Active August 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2024

Registered at 7451 103RD ST STE 18, JACKSONVILLE, FL 322106789 (Tel: 9047774622)

📍
Updated Business Mailing Address August 01, 2024

Registered at 281 CROSS RIDGE DR, PONTE VEDRA, FL 320818445 (Tel: 9086706108)

👤
Provider Name / Credentials Updated August 01, 2024

Recorded as ALEX JOSEPH RUSTIA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Dentist (License #DN29444 in FL)

🟢
Initial NPI Registration & Enumeration August 01, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194554535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2024
Last Update: January 26, 2026
Sole Proprietor: No

Mailing Address

278 Tidal Beach Ave

St Augustine, FL 320950148

Phone: 9086706108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.