Boyd, Jerry J

Boyd, Jerry J is an individual health care provider with primary practice located at 4843 Colleyville Blvd #271, Colleyville TX 76034. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boyd, Jerry J can be contacted via phone (817) 656-9171.

Contact Information

Primary practice address
4843 Colleyville Blvd #271 Colleyville TX 76034
Phone: (817) 656-9171
Fax: (817) 656-5039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14155 Texas

Profile Details

NPI number 1588772099
LBN Legal business name Boyd, Jerry J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588772099 NPPES
Texas Other 14155 TEXAS STATE BOARD OF DENT
Texas Other 661618 TEXAS STATE BOARD OF DENT

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