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General NPI Number Information
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NPI Number | 1316078405
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Entity Type | Organization
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Legal Business Name | DAVID W. BOYD, D.D.S., INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 516 SE WASHINGTON BLVD STE B
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City | BARTLESVILLE
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State | OK
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Zip | 74006-8224
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Country | US
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Telephone | 918-335-3777
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Fax | 918-335-2999
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Provider Business Mailing Address
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Address Line | 516 SE WASHINGTON BLVD STE B
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City | BARTLESVILLE
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State | OK
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Zip | 74006-8224
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Country | US
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Telephone | 918-335-3777
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Fax | 918-335-2999
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID W. BOYD
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Credential | D.D.S., M.S.
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Telephone | 918-335-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 3910
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License Number State | OK
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