Jerry L. Boshell, D.M.D., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3149 Issued in AL

Legal business name

JERRY L. BOSHELL, D.M.D., P.C.

Practice address

1606 6TH Ave S
Jasper, AL 35501-4640

Phone

(205) 221-2330

Fax

(205) 221-3961

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry L. Boshell, D.M.D., PH.D.

Title

President

Phone

(205) 221-2330

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1083883722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 6TH AVE S",
            "address_2": "P.O. BOX 3125",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014640",
            "telephone_number": "205-221-2330",
            "fax_number": "205-221-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 6TH AVE S",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014640",
            "telephone_number": "205-221-2330",
            "fax_number": "205-221-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L. BOSHELL, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BOSHELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-221-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper Podiatry Center, P.C.
• Jasper Senior Living LLC (The Terrace Senior Living Community)
• Jasper Urgent Care
• Miali Praytor Jennings, CRNP
• Jernigan Healthcare, Inc.
• Jerry V. Mosley M.D., P.C.
• John G. Jessup, MD
• Tammy Ann Jett, OTR
• Jill Barton Gamotis, DMD, LLC
• Jillian E. Bivona LLC

• Dental Clinic/Center in Jasper, AL
• Providers in Jasper, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.