Gynnekia M Booth
Dentist in Palm Coast, Florida
1518586403- Practice location
- 4873 Belle Terre Pkwy, Palm Coast, FL 32137-8696
- Phone
- 386-864-8313
- Fax
- —
- Last updated
- September 23, 2020
Gynnekia Marie Booth is a Dentist based in Palm Coast, FL. Gynnekia Marie Booth practices in Palm Coast, FL. The NPI Number for Gynnekia Marie Booth is 1518586403 and holds a License No. DN25483 (FL). The current practice location address for Gynnekia Marie Booth is 4873 Belle Terre Pkwy, Palm Coast, FL 32137-8696 and can be reached out via phone at 386-864-8313.
Provider Profile Details
- NPI Number
- 1518586403
- Provider Name
- Gynnekia Marie Booth
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4873 Belle Terre Pkwy, Palm Coast, FL 32137-8696
- Phone Number
- 386-864-8313
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 10, 2020
- Last Update Date
- September 23, 2020
- Certification Date
- September 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4873 Belle Terre Pkwy
Palm Coast, FL 32137-8696 - City
- Palm Coast
- State
- Florida
- Zip
- 32137-8696
- Phone Number
- 386-864-8313
Provider Business Mailing Address Details
- Address
- 12700 Bartram Park Blvd Apt 2314
Jacksonville, FL 32258-5449 - City
- Jacksonville
- State
- FL
- Zip
- 32258-5449
- Phone Number
- 813-420-7929
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DN25483
- License State (2)
- FL
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Palm Coast, FL
View all Dentists in Palm Coast →Frequently Asked Questions
What is the NPI number of Gynnekia M Booth?
The NPI number of Gynnekia M Booth is 1518586403. It was assigned on April 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Gynnekia M Booth?
Gynnekia M Booth is registered under the primary taxonomy Dentist (code 122300000X), licensed in FL under license number DN25483.
Where does Gynnekia M Booth practice?
The practice location is 4873 Belle Terre Pkwy, Palm Coast, FL 32137-8696. The office can be reached at 386-864-8313 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518586403 directly on the NPPES registry website.