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General NPI Number Information
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NPI Number | 1205935970
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Entity Type | Organization
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Legal Business Name | BOYNTON FAMILY DENTAL ARTS
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 1901 N WEBB RD SUITE B
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City | WICHITA
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State | KS
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Zip | 67206-3415
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Country | US
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Telephone | 316-685-8881
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Fax | 316-634-8323
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Provider Business Mailing Address
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Address Line | 1901 N WEBB RD. SUITE B
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City | WICHITA
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State | KS
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Zip | 67206-3415
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Country | US
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Telephone | 316-685-8881
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Fax | 316-634-8323
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. KREG W BOYNTON
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Credential | DDS
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Telephone | 316-685-8881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | KS
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