Thomas Lura Boe, DDS
Individual provider Active NPI Dentist · Moorhead, MN
NPI 1326109869 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326109869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D9542 (MN)
- Practice address
- 1900 28TH Ave S
Moorhead, MN 56560-4830 - Phone
- (218) 299-6819
- Fax
- (218) 299-6532
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9542 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msctc Community Dental Clinic | Past | Accepting new patients | |
| Minnesota State Community and Technical College - Dental | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9542 | MN | Yes |
Addresses
Primary practice location
1900 28TH Ave S
Moorhead, MN 56560-4830
Mailing address
1900 28TH Ave S
Moorhead, MN 56560-4830
Phone (218) 299-6819
Other providers in Moorhead, MN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.