Bold City Dentistry, PA
Organization Active NPI General Practice Dentistry · Yulee, FL
NPI 1902201064 · NPPES record last updated Oct 30, 2014
Key facts
- NPI
- 1902201064
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN19347 (FL)
- Legal business name
- BOLD CITY DENTISTRY, PA
- Practice address
- 463859 State Road 200
Yulee, FL 32097-3639 - Phone
- (315) 454-6000
- Fax
- (315) 438-4483
- NPI assigned
- Oct 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Mika Weiss
- Title
- Provider Relations
- Phone
- (315) 454-6000
National Provider Directory
Locations
463859 State Road 200
Yulee, FL 32097
Phone (904) 335-3222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN19347 | FL | Yes |
Addresses
Primary practice location
463859 State Road 200
Yulee, FL 32097-3639
Mailing address
463859 State Road 200
Yulee, FL 32097-3639
Phone (315) 454-6000
Other names
- Aspen Dental
Other providers in Yulee, FL
- Jeffrey Paul Berteau
- Kyle K Bishop
- Lauren Bissette
- Katherine Bizon
- Board of County Commissioners of Nassau County
- Crystal Bowen
- Bradley Eyecare LLC
- Breakthroughs of North Florida LLC
- Breathe Easy LLC
- Carissa Lynn Brede
All providers in Yulee, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.