Bouvier Poblenz, Amy Johanna

Bouvier Poblenz, Amy Johanna is an individual health care provider with primary practice located at 1023 Atlantic Blvd , Atlantic Beach FL 32233-3313. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Bouvier Poblenz, Amy Johanna can be contacted via phone (904) 249-3104.

Contact Information

Primary practice address
1023 Atlantic Blvd Atlantic Beach FL 32233-3313
Phone: (904) 249-3104
Fax: (904) 249-3109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 62078 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9611 Tennessee
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN18750 Florida

Profile Details

NPI number 1447591789
LBN Legal business name Bouvier Poblenz, Amy Johanna
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2013
Last updated Feb 6th, 2018 - about 8 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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