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MARISOL BOLIVAR DMD, MS
NPI 1386991446
Dentist - Pediatric Dentistry in St Augustine, FL

Active since August 08, 2012
250 PASEO REYES DR, ST AUGUSTINE, FL 32095(904) 429-3387(904) 429-3888 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2022, Oct 10, 2019, Sep 19, 2019 (3 updates tracked since 2019).

About Marisol Bolivar Dmd, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISOL BOLIVAR DMD, MS (NPI 1386991446) is an individual pediatric dentistry provider in St Augustine, Florida, licensed in Florida (DN22944) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1386991446
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameMARISOL BOLIVARCredential: DMD, MS
Location Address250 PASEO REYES DRSt Augustine, FL 32095-8462
Mailing Address250 Paseo Reyes DrSt Augustine, FL 32095-8462 · (904) 429-3387 · Fax (904) 429-3888
Phone(904) 429-3387
Fax(904) 429-3888
Sole ProprietorYes
Enumeration DateAugust 8, 2012
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1386991446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN22944
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
250 PASEO REYES DR, St Augustine, FL 32095
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Other Names 1

Former Name (1)Marisol Carbonell

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisol Bolivar's NPI number?

The NPI number for Marisol Bolivar is 1386991446. It was assigned to this individual provider in the NPPES registry on August 8, 2012. The provider is also known as Marisol Carbonell.

Where is Marisol Bolivar located?

Marisol Bolivar practices at 250 Paseo Reyes Dr, St Augustine, FL 32095. The listed phone number is (904) 429-3387.

What is Marisol Bolivar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Marisol Bolivar accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Marisol Bolivar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisol Bolivar was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.