MEDICARE: MRS. MARGOT DENISE JOBSON POUX DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DN0014809	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609974039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGOT DENISE JOBSON POUX DDS

Provider Business Mailing Address
First Line	:	1245 NW 119TH STREET
Second Line	:
City	:	N MIAMI
State	:	FL
Zip	:	33167
Country	:	US
Telephone Number	:	305-685-7863
Fax Number	:	305-687-7603

Provider Business Practice Location Address
First Line	:	1245 NW 119TH STREET
Second Line	:
City	:	N MIAMI
State	:	FL
Zip	:	33167
Country	:	US
Telephone Number	:	305-685-7863
Fax Number	:	305-687-7603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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