Dr. Jonathan Edmund Boes, D.D.S.
Dentist, General Practice in Wake Forest, NC. Individual provider (NPI-1).
NPI number1326246778
StatusActive
Last updated in NPPESJan 7, 2016
Details
- NPI
- 1326246778
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Edmund Boes
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2007
- Last updated
- Jan 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8432 | NC | Yes |
| 122300000X | Dentist | 8432 | NC |
Practice location
3415 Rogers Rd.Suite 100
Wake Forest, NC 27587
Phone 919-554-9955 · Fax 919-554-9933
Mailing address
8470 Falls Of Neuse Rd.Suite 202
Raleigh, NC 27615
Phone 919-977-0627 · Fax 919-977-4079
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All 59 General Practice Dentistry providers in Wake Forest · All 1,588 providers in Wake Forest
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