Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles A. Poblenz, DMD

Individual provider General Practice Dentistry · NPI 1134501141

Charles A. Poblenz, DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3647 Hendricks Ave
Jacksonville, FL 32207-5360
Phone: (904) 396-4091
Fax: (904) 396-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN 21362 (FL)

Record details

NPI number1134501141
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020
Mailing address3647 Hendricks Ave, Jacksonville, FL 32207-5360

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