OrganizationActive
Bold City Dentistry, PA
NPI 1902201064 · General Practice Dentistry · Yulee, FL
Bold City Dentistry, PA is a General Practice Dentistry organization in Yulee, FL (NPI 1902201064).
Provider details
- NPI number
- 1902201064
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mika Weiss, Provider Relations(315) 454-6000
- License
- DN19347 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
463859 State Road 200
Yulee, FL 32097-3639
Phone: (315) 454-6000
Fax: (315) 438-4483
Street-level locationGet directions
Mailing address
463859 State Road 200
Yulee, FL 32097-3639
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- Enumerated
- 2014-10-30
- Last updated
- 2014-10-30
Frequently asked questions
- What is Bold City Dentistry, PA's NPI number?
- Bold City Dentistry, PA's National Provider Identifier (NPI) is 1902201064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bold City Dentistry, PA?
- Bold City Dentistry, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Bold City Dentistry, PA located?
- Bold City Dentistry, PA's practice location on file with NPPES is 463859 State Road 200, Yulee, FL 32097-3639.
- What is Bold City Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Bold City Dentistry, PA is (315) 454-6000.
- Who is the authorized official for Bold City Dentistry, PA?
- The authorized official listed on Bold City Dentistry, PA's NPPES record is Mika Weiss, Provider Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bold City Dentistry, PA's NPI active?
- Yes — Bold City Dentistry, PA's NPI (1902201064) is active in the NPPES registry as of the last update on 2014-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.