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General NPI Number Information
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NPI Number | 1063628196
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Entity Type | Organization
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Legal Business Name | J DAVID BOYD DDS PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 644 STATESVILLE BLVD STE #4
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City | SALISBURY
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State | NC
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Zip | 28144-2281
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Country | US
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Telephone | 704-636-1533
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Fax | 704-636-5514
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Provider Business Mailing Address
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Address Line | 644 STATESVILLE BLVD STE #4
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City | SALISBURY
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State | NC
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Zip | 28144-2281
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Country | US
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Telephone | 704-636-1533
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Fax | 704-636-5514
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. JAMES DAVID BOYD
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Credential | DDS PA
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Telephone | 704-636-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5473
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License Number State | NC
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