Healthcare Provider Details

I. General information

NPI: 1881898039
Provider Name (Legal Business Name): COY MACARTHUR BOYD JR. D.D.S., M.S.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 05/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516B ALEXANDER DR
JONESBORO AR
72401-7175
US

IV. Provider business mailing address

2516B ALEXANDER DR
JONESBORO AR
72401-7175
US

V. Phone/Fax

Practice location:
  • Phone: 870-930-9994
  • Fax: 870-930-9995
Mailing address:
  • Phone: 870-930-9994
  • Fax: 870-930-9995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3159
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number29
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: