Eric R. Boyd DDS, PC
Dentist in Columbia, MO. Organization (NPI-2).
NPI number1053608901
StatusActive
Last updated in NPPESJun 29, 2011
Details
- NPI
- 1053608901
- Entity type
- Organization (NPI-2)
- Legal business name
- Eric R. Boyd DDS, PC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2011
- Last updated
- Jun 29, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2009028398 | MO | Yes |
Other names
- The Colonies Dental Center (Doing Business As)
Practice location
2516 Forum BlvdSuite #200
Columbia, MO 65203-5405
Phone 573-446-6662 · Fax 573-446-6660
Mailing address
2516 Forum BlvdSuite #200
Columbia, MO 65203-5405
Phone 573-446-6662 · Fax 573-446-6660
Authorized official
Eric Roger Boyd
President
5734466662
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