GYNNEKIA MARIE BOOTH
NPI 1518586403
Dentist in Palm Coast, FL

Q: What is Gynnekia Booth's NPI number?

The NPI number for Gynnekia Booth is 1518586403. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Q: What is Gynnekia Booth's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Gynnekia Booth was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 10, 2020

4873 BELLE TERRE PKWY, PALM COAST, FL 32137(386) 864-8313 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2020, Apr 10, 2020 (2 updates tracked since 2020).

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About Gynnekia Marie Booth NPPES

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

GYNNEKIA MARIE BOOTH (NPI 1518586403) is an individual dentist in Palm Coast, Florida, licensed in Florida (DN25483) and active in the NPI registry since April 2020. She maintains a secondary practice location in Lynn.

NPPES Registry Identity

NPI1518586403

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameGYNNEKIA MARIE BOOTH

Location Address4873 BELLE TERRE PKWYPalm Coast, FL 32137-8696

Mailing Address12700 Bartram Park Blvd Apt 2314Jacksonville, FL 32258-5449 · (813) 420-7929

Phone(386) 864-8313

Sole ProprietorYes

Enumeration DateApril 10, 2020

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1518586403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN25483

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4873 BELLE TERRE PKWY, Palm Coast, FL 32137

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Secondary Practice Location 1

Location 1269 Union StLynn, MA 01901-1314 · Phone (781) 581-3900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LENEAL POWELL DDS

Dentist (General Practice)