David M Boyd David M Boyd Dmd
Durable Medical Equipment & Medical Supplies in Portageville, MO. Organization (NPI-2).
NPI number1023677754
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1023677754
- Entity type
- Organization (NPI-2)
- Legal business name
- David M Boyd David M Boyd Dmd
- Organization subpart
- Yes
- Enumeration date
- Jun 6, 2019
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
118 E Main StPortageville, MO 63873-1612
Phone 573-379-3650
Mailing address
118 E Main StPortageville, MO 63873-1612
Phone 573-379-3650
Authorized official
David M Boyd
Dentist/Owner
5733793650
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