NPI 1306729181

Benso Gold Dental, P.A.

Organisation Dental Clinic/Center Macclenny, FL

Practice location

Address: 571 S 6th St, Macclenny, FL 32063-2605
Phone: (904) 653-3333
Fax: (904) 653-3333

Authorised official

Name: Derrick Carter
Title: Dentist/Owner
Phone: (904) 653-3333

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Florida →

Registry record

NPI: 1306729181
Entity type: Organization
NPI issued: 29 Jul 2025
Record last updated: 5 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.