Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518586403 Individual Practitioner Female Practitioner

Gynnekia Marie Booth

Dentist • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Gynnekia Booth is a registered healthcare professional specializing in Dentist in Palm Coast, FL. Practice services are available at 4873 BELLE TERRE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4873 Belle Terre Pkwy

Palm Coast, FL 321378696

Telephone 3868648313

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Palm Coast, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Palm Coast, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN25483

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

269 Union St

Lynn, MA 019011314

Phone: 7815813900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Bei Wright , DMD

Dentist - General Practice

NPI 1225696891

Doctor of Dental Medicine

Dr. Tennyson Nguyen , DMD

Dentist - General Practice

NPI 1316788474

Doctor of Dental Medicine

NPI 1336879535

Doctor of Dental Medicine

NPI 1427649755

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 23, 2020

Registered at 4873 BELLE TERRE PKWY, PALM COAST, FL 321378696 (Tel: 3868648313)

📍
Updated Business Mailing Address September 23, 2020

Registered at 12700 BARTRAM PARK BLVD APT 2314, JACKSONVILLE, FL 322585449 (Tel: 8134207929)

NPI Profile Active April 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2020

Registered at 269 UNION ST, LYNN, MA 019011314 (Tel: 7815813900)

📍
Updated Business Mailing Address April 10, 2020

Registered at 350 HARRISON AVE UNIT 409, BOSTON, MA 021183864 (Tel: 8134207929)

👤
Provider Name / Credentials Updated April 10, 2020

Recorded as GYNNEKIA BOOTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518586403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2020
Last Update: September 23, 2020
Sole Proprietor: Yes

Mailing Address

12700 Bartram Park Blvd Apt 2314

Jacksonville, FL 322585449

Phone: 8134207929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.