Jack Lee Boone in Hertford - General Practice
Jack Lee Boone - NPI 1619907474
Jack Lee Boone is a General Practice in Hertford, North Carolina. Jack Lee Boone practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Lee Boone is 1619907474. The last update date is 2007-07-09.
Jack Lee Boone'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 Lee Boone is 212 Ainsley Ave, Hertford, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Lee Boone |
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Address | 212 Ainsley Ave, Hertford, North Carolina |
Phone Number | 2524265585 |
Fax Number | 2524265766 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1619907474 |
---|---|
Provider Enumeration Date | 2006-07-04 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 212 Ainsley Ave |
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City | Hertford |
State | North Carolina (NC) |
Post Code | 279441400 |
Phone Number | 2524265585 |
Fax Number | 2524265766 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8990862 | NC | -- | |
90862 | NC | BCBS PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Lee Boone by the Centers for Medicare & Medicaid Services?
The Jack Lee Boone has been issued the NPI (National Provider Identifier) 1619907474, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jack Lee Boone's facilities are situated?
The facilities of Jack Lee Boone are physically located at the following address: 212 Ainsley Ave, Hertford, NC, 279441400.
What is Jack Lee Boone's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Lee Boone's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Jack Lee Boone's 1619907474 issued?
The Jack Lee Boone's 1619907474 was issued on 2006-07-04.
As of what date were the Jack Lee Boone's details last updated?
The information pertaining to the Jack Lee Boone, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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