Brent Russell Boyse in Mesa - Oral And Maxillofacial Surgery
Brent Russell Boyse - NPI 1609853365
Brent Russell Boyse is a Oral And Maxillofacial Surgery in Mesa, Arizona. Brent Russell Boyse practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Brent Russell Boyse is 1609853365. The last update date is 2018-12-04.
Brent Russell Boyse's current location address is 6755 E Superstition Springs Blvd, Mesa, Arizona. You can contact this provider via phone number 4808305866 and fax number 4808070606. The mailing address for Brent Russell Boyse is 6755 E Superstition Springs Blvd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Russell Boyse |
|---|---|
| Address | 6755 E Superstition Springs Blvd, Mesa, Arizona |
| Phone Number | 4808305866 |
| Fax Number | 4808070606 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1609853365 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2018-12-04 |
Provider Mailing Address Detail
| Address | 6755 E Superstition Springs Blvd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852064373 |
| Phone Number | 4808305866 |
| Fax Number | 4808070606 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5371 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0415850 | AZ | BCBS | |
| 1612346 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Brent Russell Boyse by the Centers for Medicare & Medicaid Services?
The Brent Russell Boyse has been issued the NPI (National Provider Identifier) 1609853365. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brent Russell Boyse is located?
The Brent Russell Boyse is situated at the following address: 6755 E Superstition Springs Blvd, Mesa, AZ, 852064373.
What is Brent Russell Boyse's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brent Russell Boyse is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
When was the Brent Russell Boyse's 1609853365 issued?
The Brent Russell Boyse's 1609853365 was issued on 2005-12-23.
When was the information regarding Brent Russell Boyse most recently updated?
The details pertaining to the Brent Russell Boyse, including its address, specialty, and other relevant information, were last refreshed on 2018-12-04.