Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISOL BOLIVAR, DMD, MS
Active Sole ProprietorMARISOL BOLIVAR, DMD, MS is a Pediatric Dentistry healthcare provider located in ST AUGUSTINE, Florida. NPI 1386991446 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1386991446
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2012 (13.827512421079 yrs)
- Last Updated
- Aug 25, 2022
- License
-
DN22944 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
250 PASEO REYES DRST AUGUSTINE, FL, 320958462Browse FL providers · Browse ZIP 32095
- Phone
- 9044293387
- Fax
- 9044293888
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW MCLELLAN | DMD | 1568495919 |
| DR. MARIA S FRASER | D.M.D. | 1245329093 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.