Boulter, Joseph Robert

Boulter, Joseph Robert is an individual health care provider with primary practice located at 8823 Goodbys Executive Dr , Jacksonville FL 32217. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boulter, Joseph Robert can be contacted via phone (904) 731-0432.

Contact Information

Primary practice address
8823 Goodbys Executive Dr Jacksonville FL 32217
Phone: (904) 731-0432
Fax: (904) 731-5755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10715 Florida
Dental Providers / General Practice 1223G0001X 5542 North Carolina

Profile Details

NPI number 1053381632
LBN Legal business name Boulter, Joseph Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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