Individual provider · Type 1 NPI
Amy Johanna Bouvier Poblenz, DMD, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Atlantic Beach, FL
Practice location
1023 Atlantic Blvd
Atlantic Beach, FL 32233-3313
Fax (904) 249-3109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 62078 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9611 (TN) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DN18750 (FL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
5 other providers at this address
- Eric T. Broe, DMDGeneral Practice Dentistry Atlantic Beach, FL NPI 1588926018
- Lindsay Gremillion Maples, DMDPediatric Dentistry Atlantic Beach, FL NPI 1174776967
- Mary Lois Keezel, DMDOrthodontics and Dentofacial Orthopedics Dentistry Atlantic Beach, FL NPI 1396343000
- Ryan ParkerGeneral Practice Dentistry Atlantic Beach, FL NPI 1255991972
- Suset RomanoGeneral Practice Dentistry Atlantic Beach, FL NPI 1750906293
Other orthodontics and dentofacial orthopedics dentistry providers in Atlantic Beach
About NPI 1447591789
Amy Johanna Bouvier Poblenz, DMD, M.S.'s National Provider Identifier is 1447591789, issued on Mar 12, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Atlantic Beach, FL. The record was last updated on Feb 6, 2018.