MEDICARE: DR. BRIAN W BOYD DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7208	FL

General Provider Information

NPI Number	:	1134259633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN W BOYD DMD

Provider Business Mailing Address
First Line	:	2000 N FEDERAL HWY
Second Line	:	SUITE 201
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1022
Country	:	US
Telephone Number	:	954-943-0866
Fax Number	:	954-943-0867

Provider Business Practice Location Address
First Line	:	2000 N FEDERAL HWY
Second Line	:	SUITE 201
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1022
Country	:	US
Telephone Number	:	954-943-0866
Fax Number	:	954-943-0867

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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