Bouton, Jensen Nicole

Bouton, Jensen Nicole is an individual health care provider with primary practice located at 8430 Enterprise Cir Ste 100 , Lakewood Ranch FL 34202-4111. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bouton, Jensen Nicole can be contacted via phone (941) 907-4777.

Contact Information

Primary practice address
8430 Enterprise Cir Ste 100 Lakewood Ranch FL 34202-4111
Phone: (941) 907-4777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN22575 Florida

Profile Details

NPI number 1770005910
LBN Legal business name Bouton, Jensen Nicole
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated Aug 11th, 2021 - about 3 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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