Jack L. Boone, Dds, Pa in Hertford - General Practice

Jack L. Boone, Dds, Pa - NPI 1689840654

Jack L. Boone, Dds, Pa is a General Practice in Hertford, North Carolina. Jack L. Boone, Dds, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack L. Boone, Dds, Pa is 1689840654. The last update date is 2008-04-30.

Jack L. Boone, Dds, Pa's current location address is 212 Ainsley Ave, Hertford, North Carolina. You can contact this provider via phone number 2524265585 and fax number 2524265766. The mailing address for Jack L. Boone, Dds, Pa is 212 Ainsley Ave, Hertford, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jack L. Boone, Dds, Pa
Address 212 Ainsley Ave, Hertford, North Carolina
Phone Number 2524265585
Fax Number 2524265766
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DDS
Authorized Official Name Boone Lee Jack
Credentials DDS
Telephone Number 2524265585

NPI Number Detail

NPI Number 1689840654
Provider Enumeration Date 2008-04-30
Last Updated Date 2008-04-30

Provider Mailing Address Detail

Address 212 Ainsley Ave
City Hertford
State North Carolina (NC)
Post Code 279441400
Phone Number 2524265585
Fax Number 2524265766

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3868
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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FAQs about Jack L. Boone, Dds, Pa

What is the unique identifier code issued to Jack L. Boone, Dds, Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Jack L. Boone, Dds, Pa has been assigned the NPI (National Provider Identifier) 1689840654. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Jack L. Boone, Dds, Pa's facilities are geographically located?

The facilities of Jack L. Boone, Dds, Pa are physically situated at the following location: 212 Ainsley Ave, Hertford, NC, 279441400.

What is Jack L. Boone, Dds, Pa's area of expertise and its corresponding taxonomy classification?

The Jack L. Boone, Dds, Pa's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

When did Jack L. Boone, Dds, Pa receive its 1689840654 assignment?

The Jack L. Boone, Dds, Pa was assigned its 1689840654 on 2008-04-30, which is the date when this unique identifier was issued to the organization.

As of what date were the Jack L. Boone, Dds, Pa's details last updated?

The information pertaining to the Jack L. Boone, Dds, Pa, including its address, specialty, and other details, was most recently updated on 2008-04-30.

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