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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY JOHANNA BOUVIER POBLENZ, D.M.D., M.S.

Active

AMY JOHANNA BOUVIER POBLENZ, D.M.D., M.S. is a Orthodontics healthcare provider located in ATLANTIC BEACH, Florida. NPI 1447591789 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · ATLANTIC BEACH, FL

Registration Details

NPI Number
1447591789
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2013 (13.383410956373 yrs)
Last Updated
Feb 6, 2018
Licenses
62078 (CA)
9611 (TN)
DN18750 (FL)

Practice Information

Address
1023 ATLANTIC BLVD
ATLANTIC BEACH, FL, 322333313
Browse FL providers · Browse ZIP 32233
Phone
9042493104
Fax
9042493109
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Orthodontics

Other Orthodontics Providers in ATLANTIC BEACH, FL

Name Credential NPI
TRANG M CAO DMD 1689803322
MARY LOIS KEEZEL DMD 1396343000
HIND ALI D ALDAWOOD 1427767193
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.