Healthcare Provider Details

I. General information

NPI: 1780241000
Provider Name (Legal Business Name): RANSEY P. BOYD DMD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2019
Last Update Date: 05/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 BARRINGTON CIR STE 2
TALLAHASSEE FL
32308-6802
US

IV. Provider business mailing address

2570 BARRINGTON CIR STE 2
TALLAHASSEE FL
32308-6802
US

V. Phone/Fax

Practice location:
  • Phone: 850-878-4117
  • Fax: 850-878-6748
Mailing address:
  • Phone: 850-878-4117
  • Fax: 850-878-6748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RANSEY P BOYD
Title or Position: OWNER
Credential: DENTIST
Phone: 850-509-1411