Healthcare Provider Details

I. General information

NPI: 1407298227
Provider Name (Legal Business Name): J'NELLE DELICA DMD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 ROYAL PALM BEACH BLVD STE B
ROYAL PALM BEACH FL
33411-1608
US

IV. Provider business mailing address

1450 ROYAL PALM BEACH BLVD STE B
ROYAL PALM BEACH FL
33411-1608
US

V. Phone/Fax

Practice location:
  • Phone: 561-892-2170
  • Fax:
Mailing address:
  • Phone: 561-892-2170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDN 20249
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: