MEDICARE: DR. JAMES S BOYCE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	16880	CA

General Provider Information

NPI Number	:	1033412721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S BOYCE DDS

Provider Business Mailing Address
First Line	:	4374 PARK CORONA
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1766
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4374 PARK CORONA
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1766
Country	:	US
Telephone Number	:	818-222-7994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2010
Last Update Date	:	12/17/2010

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