John William Boutz in Albuquerque - Orthodontics And Dentofacial Orthopedics
John William Boutz - NPI 1740265255
John William Boutz is a Orthodontics And Dentofacial Orthopedics in Albuquerque, New Mexico. John William Boutz practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John William Boutz is 1740265255. The last update date is 2007-07-09.
John William Boutz's current location address is 7111 Prospect Pl Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058835773. The mailing address for John William Boutz is 7111 Prospect Pl Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John William Boutz |
|---|---|
| Address | 7111 Prospect Pl Ne, Albuquerque, New Mexico |
| Phone Number | 5058835773 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1740265255 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 7111 Prospect Pl Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871104309 |
| Phone Number | 5058835773 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DD964 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80838 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John William Boutz by the Centers for Medicare & Medicaid Services?
The John William Boutz has been issued the NPI (National Provider Identifier) 1740265255. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John William Boutz's facilities are geographically located?
The facilities of John William Boutz are physically situated at the following location: 7111 Prospect Pl Ne, Albuquerque, NM, 871104309.
What is John William Boutz's specialized field of practice, and what is the corresponding taxonomy classification code?
The John William Boutz's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the John William Boutz receive the assignment of its 1740265255 from the Centers for Medicare & Medicaid Services?
The John William Boutz was issued its 1740265255 by the Centers for Medicare & Medicaid Services on 2005-12-07.
As of what date were the details related to John William Boutz most recently updated or revised?
The information pertaining to John William Boutz, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY