ASPEN DENTAL
NPI 1902201064
Dentist - General Practice in Yulee, FL

Active since October 30, 2014
463859 STATE ROAD 200, YULEE, FL 32097(315) 454-6000(315) 438-4483 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aspen Dental NPPES

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

ASPEN DENTAL (NPI 1902201064) is a healthcare organization registered as a general practice in Yulee, Florida and active in the NPI registry since October 2014. The organization lists Mika Weiss, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1902201064
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOLD CITY DENTISTRY, PA
Location Address463859 STATE ROAD 200Yulee, FL 32097-3639
Mailing Address463859 State Road 200Yulee, FL 32097-3639 · (315) 454-6000 · Fax (315) 438-4483
Fax(315) 438-4483
Organization SubpartNo
Authorized OfficialMika WeissProvider Relations · (315) 454-6000
Enumeration DateOctober 30, 2014
NPI 1902201064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN19347
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
463859 STATE ROAD 200, Yulee, FL 32097

Other Names 1

Doing Business AsAspen Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Oral & Maxillofacial Surgery
463859 STATE ROAD 200
YULEE, FL 32097
Dentist (General Practice)
463859 STATE ROAD 200
YULEE, FL 32097
Dentist (General Practice)
463859 STATE ROAD 200
YULEE, FL 32097
Dentist (General Practice)
463859 STATE ROAD 200
YULEE, FL 32097

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 Bold City Dentistry, PA's NPI number?

The NPI number for Bold City Dentistry, PA is 1902201064. It was assigned to this organization in the NPPES registry on October 30, 2014. The provider is doing business as Aspen Dental.

Where is Bold City Dentistry, PA located?

Bold City Dentistry, PA is located at 463859 State Road 200, Yulee, FL 32097. The listed phone number is (315) 454-6000.

What is Bold City Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bold City Dentistry, PA was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.