Dr Daniel Boeh DMD PSC

Primary specialty

DentistTaxonomy code 122300000X

License

3752 Issued in KY

Legal business name

DR DANIEL BOEH DMD PSC

Practice address

100 Fountain Ave
Suite #314
Paducah, KY 42001

Phone

(270) 444-6032

Fax

(270) 444-7843

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Gardner Boeh

Title

President

Phone

(270) 554-1324

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184827446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FOUNTAIN AVE",
            "address_2": "SUITE #314",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-444-6032",
            "fax_number": "270-444-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOUNTAIN AVE",
            "address_2": "SUITE #314",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-444-6032",
            "fax_number": "270-444-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL BOEH DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOEH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GARDNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-554-1324",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "3752",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Paducah, KY
• Providers in Paducah, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.