Bietenholz, Joshua Owen

Bietenholz, Joshua Owen is an individual health care provider with primary practice located at 1947 Citrona Dr , Fernandina Beach FL 32034-4492. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bietenholz, Joshua Owen can be contacted via phone (904) 261-7181.

Contact Information

Primary practice address
1947 Citrona Dr Fernandina Beach FL 32034-4492
Phone: (904) 261-7181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN17599 Florida

Profile Details

NPI number 1659489953
LBN Legal business name Bietenholz, Joshua Owen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659489953 NPPES
Florida Other DN17599 LICENSE

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