Thomas R Boyd is a General Practice in Peoria, Illinois. Thomas R Boyd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas R Boyd is 1871516419. The last update date is 2007-07-08.
Thomas R Boyd's current location address is 1424 W Glen Ave Ste A, Peoria, Illinois. You can contact this provider via phone number 3096918033 and fax number 3096915308. The mailing address for Thomas R Boyd is 1424 W Glen Ave Ste A, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas R Boyd |
|---|---|
| Address | 1424 W Glen Ave Ste A, Peoria, Illinois |
| Phone Number | 3096918033 |
| Fax Number | 3096915308 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871516419 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1424 W Glen Ave Ste A |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144791 |
| Phone Number | 3096918033 |
| Fax Number | 3096915308 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Thomas R Boyd's unique identification number?
The Thomas R Boyd has been assigned the NPI (National Provider Identifier) Number 1871516419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Thomas R Boyd located?
The Thomas R Boyd is located at 1424 W Glen Ave Ste A, Peoria, IL 616144791.
What is Thomas R Boyd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas R Boyd's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Thomas R Boyd receive the assignment of its 1871516419 from the Centers for Medicare & Medicaid Services?
The Thomas R Boyd was issued its 1871516419 by the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information regarding Thomas R Boyd most recently updated?
The details pertaining to the Thomas R Boyd, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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