Suzanne Lee Boynton, D.D.S.
Individual provider Active NPI General Practice Dentistry · Sonora, CA
NPI 1295873776 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295873776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 43423 (CA)
- Practice address
- 940 Sylva LN
Suite C
Sonora, CA 95370-5969 - Phone
- (209) 532-6931
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 30, 2015 through Jul 30, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43423 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43423 | CA | Yes |
Addresses
Primary practice location
940 Sylva LN
Suite C
Sonora, CA 95370-5969
Mailing address
940 Sylva LN
Suite C
Sonora, CA 95370-5969
Phone (209) 532-6931
Other providers in Sonora, CA
- Brianna Borgen
- Kathy J Bosch
- Slim Bouchoucha
- William Stuart Bowie
- James Ivy Boyd III
- Chrystal Anastasia Lucretia Bradley
- Emily Branscum
- Karen A Brasesco
- Brett C Lockman DO Medical Corporation
- Barbara Laura Briner
All providers in Sonora, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.