Boykin, Carl Anthony

Boykin, Carl Anthony is an sole proprietor health care provider with primary practice located at 217 S Extension St , Hazlehurst MS 39083-3322. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boykin, Carl Anthony can be contacted via phone (601) 812-8686.

Contact Information

Primary practice address
217 S Extension St Hazlehurst MS 39083-3322
Phone: (601) 812-8686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3431-07 Mississippi
Dental Providers / General Practice 1223G0001X 6824 Louisiana

Profile Details

NPI number 1144405390
LBN Legal business name Boykin, Carl Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2008
Last updated Aug 25th, 2017 - about 8 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 1144405390 NPPES
Mississippi MEDICAID 06457826

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