Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bouali Frederick Amoli, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1306073754

Dr. Bouali Frederick Amoli, DMD, MD is an Oral and Maxillofacial Surgery (Dentist) in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5149 Normandy Blvd Unit 4
Jacksonville, FL 32205-4861
Phone: (904) 781-1201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN 21029 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DRP781 (FL)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence ME119684 (FL)

Record details

NPI number1306073754
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorYes
NPI enumeratedJune 12, 2009
Last updated in NPPESFebruary 23, 2015

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