Active NPI
Amanda Lynn Forche, DDS
- Dentist
- San Antonio, FL
National Provider Identifier
1780029520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26819
- Practice address
- 30821 Mirada Blvd Ste 2
San Antonio, FL 33576-7305 - Phone
- (352) 668-9065
- NPI assigned
- May 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN26819 | FL | Primary |
Addresses
Primary practice location
30821 Mirada Blvd Ste 2
San Antonio, FL 33576-7305
Mailing address
30821 Mirada Blvd Ste 2
San Antonio, FL 33576-7305
Phone (352) 668-9065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023928 | OH | MD | Dentist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holzer Dental Clinic Jackson LLC | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1780029520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30821 MIRADA BLVD STE 2",
"city": "SAN ANTONIO",
"state": "FL",
"postal_code": "335767305",
"telephone_number": "352-668-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30821 MIRADA BLVD STE 2",
"city": "SAN ANTONIO",
"state": "FL",
"postal_code": "335767305",
"telephone_number": "352-668-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORCHE",
"first_name": "AMANDA",
"middle_name": "LYNN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, FL
- Comfortable Care Dental Health Professionals, P.a.
- Community Victory Family Services, Inc.
- James Andrew Dapello
- Thomas Lloyd Edwards, D.O.
- Amy Engel
- Francisco H Bezerra DDS PA
- General & Implant Dentistry of San Antonio, PA
- Andrew Cian Godwin, RBT
- Kimberly Anita Gore, P.A.-C.
- Patricia Hamada, M.S. SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.