Amelia Gentle Dentistry, LLC
Dentist in Fernandina Beach, FL. Organization (NPI-2).
NPI number1679969786
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1679969786
- Entity type
- Organization (NPI-2)
- Legal business name
- Amelia Gentle Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2015
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN10812 | FL | Yes |
Practice location
1699 S 14th St Ste 21Fernandina Beach, FL 32034-1965
Phone 904-277-8500
Mailing address
1699 S 14th St Ste 21Fernandina Beach, FL 32034-1965
Phone 904-277-8500
Authorized official
Mark Robert Olbina
President
9042778500
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