Dr. James E. Boulton, D.D.S.
Dentist, Endodontics in Cleveland, TN. Individual provider (NPI-1).
NPI number1235148024
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235148024
- Entity type
- Individual (NPI-1)
- Name
- Dr. James E. Boulton
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | DS-3169 | TN | Yes |
Practice location
2292 Chambliss Ave NwSuite B
Cleveland, TN 37311-3862
Phone 423-476-7600 · Fax 423-476-3949
Mailing address
2292 Chambliss Ave NwSuite B
Cleveland, TN 37311-3862
Phone 423-476-7600 · Fax 423-476-3949
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