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General NPI Number Information
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NPI Number | 1952508616
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Entity Type | Organization
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Legal Business Name | BRIAN D. BOYNTON DMD
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 FOREST FALLS DR. SUITE 7
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City | YARMOUTH
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State | ME
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Zip | 04096-6936
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Country | US
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Telephone | 207-846-0002
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Fax | 207-846-0009
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Provider Business Mailing Address
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Address Line | 10 FOREST FALLS DR SUITE 7
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City | YARMOUTH
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State | ME
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Zip | 04096-6936
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Country | US
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Telephone | 207-846-0002
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Fax | 207-846-0009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN DAVID BOYNTON
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Credential | DMD
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Telephone | 207-846-0002
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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 | 3448
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License Number State | ME
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