Individual provider · Type 1 NPI

Bouali Frederick Amoli, D.M.D. M.D.

Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL

NPI number 1306073754 Active

Practice location

5149 Normandy Blvd Unit 4
Jacksonville, FL 32205-4861

Call (904) 781-1201 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDRP781 (FL)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XME119684 (FL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN 21029 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1306073754

Bouali Frederick Amoli, D.M.D. M.D.'s National Provider Identifier is 1306073754, issued on Jun 12, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 23, 2015.