Joseph R. Boulter, D.M.D., M.A.G.D., P.A.

LBN: Joseph R. Boulter, D.M.D., M.A.G.D., P.A.
Joseph R. Boulter, D.M.D., M.A.G.D., P.A. is an health care organization with primary practice located at 8823 Goodbys Executive Dr , Jacksonville FL 32217-4691. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Joseph R. Boulter, D.M.D., M.A.G.D., P.A. can be contacted via phone (904) 731-0432, or through Boulter, Joseph Robert via phone (904) 731-0432.

Contact Information

Primary practice address
8823 Goodbys Executive Dr Jacksonville FL 32217-4691
Phone: (904) 731-0432
Fax: (904) 731-5755
Website:
Map and Directions
Authorized official contact:
Name: Boulter, Joseph Robert Doctor of Dental Medicine (DMD)
Phone: (904) 731-0432

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1225232176
LBN Legal business name Joseph R. Boulter, D.M.D., M.A.G.D., P.A.
DBA Doing business as
Authorized official Boulter, Joseph Robert Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Feb 29th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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