Carl Swanson Amaral, DDS

Individual provider Active NPI General Practice Dentistry · Yulee, FL

NPI 1831751635 · NPPES record last updated Jul 1, 2019

Key facts

NPI
1831751635
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN24366 (FL)
Practice address
463859 State Road 200
Yulee, FL 32097-3639
Phone
(904) 335-3222
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN24366FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X DN24366 FL Yes

Addresses

Primary practice location

463859 State Road 200
Yulee, FL 32097-3639

Mailing address

16595 SW 70TH St
Fort Lauderdale, FL 33331-4644
Phone (954) 496-1274

Other providers in Yulee, FL

All providers in Yulee, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.