Edward Joseph Boos in Metairie - Oral & Maxillofacial Surgery

Edward Joseph Boos - NPI 1902960677

Edward Joseph Boos is a Oral & Maxillofacial Surgery in Metairie, Louisiana. Edward Joseph Boos practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Edward Joseph Boos is 1902960677. The last update date is 2018-10-15.

Edward Joseph Boos's current location address is 3100 Galleria Dr Ste 202, Metairie, Louisiana. You can contact this provider via phone number 5044565033 and fax number 5044565057. The mailing address for Edward Joseph Boos is 3100 Galleria Dr Ste 202, Metairie, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Joseph Boos
Address 3100 Galleria Dr Ste 202, Metairie, Louisiana
Phone Number 5044565033
Fax Number 5044565057
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1902960677
Provider Enumeration Date 2006-12-20
Last Updated Date 2018-10-15

Provider Mailing Address Detail

Address 3100 Galleria Dr Ste 202
City Metairie
State Louisiana (LA)
Post Code 700012196
Phone Number 5044565033
Fax Number 5044565057

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No 2577
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A2654 LA BLUE CROSS BLUE SHIELD

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FAQs about Edward Joseph Boos

What is the unique provider identifier assigned to Edward Joseph Boos?

The Edward Joseph Boos has been issued the NPI (National Provider Identifier) 1902960677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Edward Joseph Boos?

The Edward Joseph Boos is physically situated at 3100 Galleria Dr Ste 202, in the city of Metairie, state of LA, with the postal code 700012196.

What is the Edward Joseph Boos's specialty and taxonomy code?

The Edward Joseph Boos's specialty is Oral & Maxillofacial Surgery, and the corresponding taxonomy code is 204E00000X.

On what date did Edward Joseph Boos receive its 1902960677 assignment from the Centers for Medicare & Medicaid Services?

The Edward Joseph Boos was assigned its 1902960677 on 2006-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Edward Joseph Boos, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Edward Joseph Boos, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-10-15.

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