Bold City Dentistry, PA
Bold City Dentistry, PA is a healthcare organization registered as General Practice Dentistry in Yulee, FL, holding Type 2 (organization) NPI 1902201064 since 2014. The authorized official on file is Mika Weiss, Provider Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902201064 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bold City Dentistry, PA |
| Other name | <Unavail> |
| Practice address | 463859 STATE ROAD 200, Yulee, FL, 32097 |
| Phone | 3154546000 |
| Fax | 3154384483 |
| Enumeration date | 2014-10-30 |
| Last updated in NPPES | 2014-10-30 |
Authorized official
| Name | Mika Weiss |
|---|---|
| Title | Provider Relations |
| Phone | 3154546000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DN19347 | FL |
Copy-ready billing details
Provider: Bold City Dentistry, PA NPI: 1902201064 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 463859 STATE ROAD 200, Yulee, FL, 32097
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811107253 | Charles Milton | Individual | Oral & Maxillofacial Surgery (D.M.D.) | Yulee, FL |
| 1831751635 | Carl Amaral | Individual | General Practice Dentistry | Yulee, FL |
| 1881235737 | Estes Florida Dental Pllc | Organization | General Practice Dentistry | Yulee, FL |
| 1952112294 | Amaral Dental, LLC | Organization | General Practice Dentistry | Yulee, FL |
Verify this record
Cross-check NPI 1902201064 against the authoritative CMS record: view Bold City Dentistry, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bold City Dentistry, PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-10-30.