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
- Last updated
- Sep 7, 2026
- 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 |
|---|---|---|---|
| DN26819 | FL | MD | Dentist |
Practice roles
| 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental Health Partners
- General Practice Dentistry
- Jackson, OH
- NPI 1295783074
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. (Cerillo Family Dentistry - San Antonio)
- Comfortable Care Dental Health Professionals, P.a. (Mirada Market Dental Care)
- Community Victory Family Services, Inc.
- Thomas Lloyd Edwards, D.O.
- Amy Engel
- Francisco H Bezerra DDS PA (Dr. Bee Pediatric Dentistry)
- 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.