Boynton, James R

Boynton, James R is an individual health care provider with primary practice located at 1500 E Medical Center Dr B1B204, Ann Arbor MI 48109-0018. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is his primary health care specialty. Boynton, James R can be contacted via phone (734) 763-2331.

Contact Information

Primary practice address
1500 E Medical Center Dr B1B204 Ann Arbor MI 48109-0018
Phone: (734) 763-2331
Fax: (734) 763-8100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901018557 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X 2901018557 Michigan

Profile Details

NPI number 1265556468
LBN Legal business name Boynton, James R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 9th, 2007 - about 18 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 1265556468 NPPES
Michigan MEDICAID 4784437
Michigan Other 1958112000
Michigan MEDICAID 2667592
Michigan MEDICAID 4784428
Michigan Other D185570

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