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Marisol Bolivar, DMD, MS
NPI 1386991446 · Pediatric Dentistry · St Augustine, FL
Marisol Bolivar, DMD, MS is a Pediatric Dentistry provider in St Augustine, FL (NPI 1386991446).
Provider details
- NPI number
- 1386991446
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN22944 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 Paseo Reyes Dr
St Augustine, FL 32095-8462
Phone: (904) 429-3387
Fax: (904) 429-3888
Street-level locationGet directions
Mailing address
250 Paseo Reyes Dr
St Augustine, FL 32095-8462
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2022-08-25
- Certified
- 2022-08-25
Frequently asked questions
- What is Marisol Bolivar's NPI number?
- Marisol Bolivar's National Provider Identifier (NPI) is 1386991446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisol Bolivar's specialty?
- Marisol Bolivar is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Marisol Bolivar located?
- Marisol Bolivar's practice location on file with NPPES is 250 Paseo Reyes Dr, St Augustine, FL 32095-8462.
- What is Marisol Bolivar's phone number?
- The practice phone number listed in the NPPES registry for Marisol Bolivar is (904) 429-3387.
- Is Marisol Bolivar's NPI active?
- Yes — Marisol Bolivar's NPI (1386991446) is active in the NPPES registry as of the last update on 2022-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.