Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134501141 Individual Practitioner Male Practitioner

Dr. Charles A. Poblenz , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Charles Poblenz, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 3647 HENDRICKS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3647 Hendricks Ave

Jacksonville, FL 322075360

Telephone 9043964091
Fax 9043969091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN 21362

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Solomon Brotman , DDS

Dentist - General Practice

NPI 1619006517

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 17, 2020

Registered at 3647 HENDRICKS AVE, JACKSONVILLE, FL 322075360 (Tel: 9043964091)

📍
Updated Business Mailing Address July 17, 2020

Registered at 3647 HENDRICKS AVE, JACKSONVILLE, FL 322075360 (Tel: 9043964091)

📍
Updated Practice Location October 24, 2018

Registered at 1036 DUNN AVE STE 42, JACKSONVILLE, FL 322186365 (Tel: 9047149909)

📍
Updated Business Mailing Address October 24, 2018

Registered at 1036 DUNN AVE STE 42, JACKSONVILLE, FL 322186365 (Tel: 9047149909)

NPI Profile Active June 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2015

Registered at 620 COMMERCE CENTER DR UNIT 155, JACKSONVILLE, FL 322258803 (Tel: 9044833022)

📍
Updated Business Mailing Address June 25, 2015

Registered at 620 COMMERCE CENTER DR UNIT 155, JACKSONVILLE, FL 322258803

👤
Provider Name / Credentials Updated June 25, 2015

Recorded as CHARLES POBLENZ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2015

Dentist (License #DN 21362 in FL)

🟢
Initial NPI Registration & Enumeration June 25, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134501141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2015
Last Update: July 17, 2020
Sole Proprietor: No

Mailing Address

3647 Hendricks Ave

Jacksonville, FL 322075360

Phone: 9043964091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.