Individual provider · Type 1 NPI

Gynnekia Marie Booth

Dentist · Palm Coast, FL

NPI number 1518586403 Active

Practice location

4873 Belle Terre Pkwy
Palm Coast, FL 32137-8696

Call (386) 864-8313 Map

Mailing address

12700 Bartram Park Blvd Apt 2314
Jacksonville, FL 32258-5449

Other practice locations

269 Union St, Lynn, MA 01901-1314 · (781) 581-3900

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Dentist Primary	122300000X	DN25483 (FL)

Dentist: 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 requiremen…

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About NPI 1518586403

Gynnekia Marie Booth's National Provider Identifier is 1518586403, issued on Apr 10, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Palm Coast, FL. The record was last updated on Sep 23, 2020.