Boulder Rock Dental, LLC
Boulder Rock Dental, LLC is a General Practice Dentistry in Palm Coast, Florida. Licensed in Florida. Registered with an NPI since 2018.
- Licensed in
- FL
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5 Boulder Rock Dr Ste APalm Coast, FL 32137-8538
Phone: (386) 931-1685
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN15016 (FL) |
|---|
Record details
| NPI number | 1922515204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanya Whitaker — Office Manager · (386) 276-9051 |
| NPI enumerated | January 8, 2018 |
| Last updated in NPPES | June 12, 2024 |
| Certification date | June 12, 2024 |
| Mailing address | 5 Boulder Rock Dr Ste A, Palm Coast, FL 32137-8538 |
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