OrganizationActive
Boulder Rock Dental, LLC
NPI 1922515204 · General Practice Dentistry · Palm Coast, FL
Boulder Rock Dental, LLC is a General Practice Dentistry organization in Palm Coast, FL (NPI 1922515204).
Provider details
- NPI number
- 1922515204
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tanya Whitaker, Office Manager(386) 276-9051
- License
- DN15016 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5 Boulder Rock Dr Ste a
Palm Coast, FL 32137-8538
Phone: (386) 931-1685
Street-level locationGet directions
Mailing address
5 Boulder Rock Dr Ste a
Palm Coast, FL 32137-8538
Registry dates
- Enumerated
- 2018-01-08
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Boulder Rock Dental, LLC's NPI number?
- Boulder Rock Dental, LLC's National Provider Identifier (NPI) is 1922515204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulder Rock Dental, LLC?
- Boulder Rock Dental, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Boulder Rock Dental, LLC located?
- Boulder Rock Dental, LLC's practice location on file with NPPES is 5 Boulder Rock Dr Ste a, Palm Coast, FL 32137-8538.
- What is Boulder Rock Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Boulder Rock Dental, LLC is (386) 931-1685.
- Who is the authorized official for Boulder Rock Dental, LLC?
- The authorized official listed on Boulder Rock Dental, LLC's NPPES record is Tanya Whitaker, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulder Rock Dental, LLC's NPI active?
- Yes — Boulder Rock Dental, LLC's NPI (1922515204) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.