Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisol Bolivar, DMD, MS

Individual provider Pediatric Dentistry · NPI 1386991446

Marisol Bolivar, DMD, MS is a Pediatric Dentistry in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

250 Paseo Reyes Dr
St Augustine, FL 32095-8462
Phone: (904) 429-3387
Fax: (904) 429-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN22944 (FL)

Record details

NPI number1386991446
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedAugust 8, 2012
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address250 Paseo Reyes Dr, St Augustine, FL 32095-8462

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