Ryan Boles is a Dentist in Yukon, Oklahoma. Ryan Boles practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ryan Boles is 1306001854. The last update date is 2008-07-24.
Ryan Boles's current location address is 701 Shedeck Pkwy, Yukon, Oklahoma. You can contact this provider via phone number 4053501133 and fax number 4053501139. The mailing address for Ryan Boles is 701 Shedeck Pkwy, Yukon, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Boles |
|---|---|
| Address | 701 Shedeck Pkwy, Yukon, Oklahoma |
| Phone Number | 4053501133 |
| Fax Number | 4053501139 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1306001854 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
| Address | 701 Shedeck Pkwy |
|---|---|
| City | Yukon |
| State | Oklahoma (OK) |
| Post Code | 730996021 |
| Phone Number | 4053501133 |
| Fax Number | 4053501139 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6069 |
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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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What is the unique identifier code issued to Ryan Boles by the Centers for Medicare & Medicaid Services?
The Ryan Boles has been assigned the NPI (National Provider Identifier) 1306001854. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ryan Boles?
The Ryan Boles is situated at 701 Shedeck Pkwy, in the city of Yukon, state of OK, with the zip code 730996021.
What is Ryan Boles's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ryan Boles's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the Ryan Boles's 1306001854 issued?
The Ryan Boles's 1306001854 was issued on 2008-07-24.
As of what date were the Ryan Boles's details last updated?
The information pertaining to the Ryan Boles, including its address, specialty, and other details, was most recently updated on 2008-07-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY