Kenneth James Boone in Jbsa Lackland - Endodontics
Kenneth James Boone - NPI 1548257066
Kenneth James Boone is a Endodontics in Jbsa Lackland, Texas. Kenneth James Boone practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kenneth James Boone is 1548257066. The last update date is 2021-01-22.
Kenneth James Boone's current location address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can contact this provider via phone number 2105650646. The mailing address for Kenneth James Boone is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth James Boone |
|---|---|
| Address | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Phone Number | 2105650646 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548257066 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2021-01-22 |
Provider Mailing Address Detail
| Address | 1100 Wilford Hall Loop Bldg 4554 |
|---|---|
| City | Jbsa Lackland |
| State | Texas (TX) |
| Post Code | 782365638 |
| Phone Number | 2105650646 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 4531 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to Kenneth James Boone by the Centers for Medicare & Medicaid Services?
The Kenneth James Boone has been issued the NPI (National Provider Identifier) 1548257066 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kenneth James Boone's physical address?
The Kenneth James Boone is physically located at 1100 Wilford Hall Loop Bldg 4554, in the city of Jbsa Lackland, TX, with the postal code 782365638.
What is Kenneth James Boone's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth James Boone is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
When was the Kenneth James Boone's 1548257066 issued?
The Kenneth James Boone's 1548257066 was issued on 2005-09-30.
As of what date were the details pertaining to Kenneth James Boone last refreshed?
The information related to the Kenneth James Boone, including its address, specialty, and other relevant details, was last updated on 2021-01-22.