Jerri Anne Boughan in Lawrenceville - Dentist
Jerri Anne Boughan - NPI 1982719431
Jerri Anne Boughan is a Dentist in Lawrenceville, Illinois. Jerri Anne Boughan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerri Anne Boughan is 1982719431. The last update date is 2015-06-02.
Jerri Anne Boughan's current location address is 2300 James St, Lawrenceville, Illinois. You can contact this provider via phone number 6189435664 and fax number 6189434037. The mailing address for Jerri Anne Boughan is 2300 James St, Lawrenceville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerri Anne Boughan |
|---|---|
| Address | 2300 James St, Lawrenceville, Illinois |
| Phone Number | 6189435664 |
| Fax Number | 6189434037 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1982719431 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2015-06-02 |
Provider Mailing Address Detail
| Address | 2300 James St |
|---|---|
| City | Lawrenceville |
| State | Illinois (IL) |
| Post Code | 624392089 |
| Phone Number | 6189435664 |
| Fax Number | 6189434037 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19024088 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Jerri Anne Boughan's unique identification number?
The Jerri Anne Boughan has been assigned the NPI (National Provider Identifier) Number 1982719431 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jerri Anne Boughan is located?
The Jerri Anne Boughan is situated at the following address: 2300 James St, Lawrenceville, IL, 624392089.
What is Jerri Anne Boughan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerri Anne Boughan is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982719431 to Jerri Anne Boughan?
The Jerri Anne Boughan received its 1982719431 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date was the information regarding Jerri Anne Boughan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerri Anne Boughan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-06-02.