J. Michele Boyne, D.M.D. LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3202 Issued in SC

Legal business name

J. MICHELE BOYNE, D.M.D. LLC

Practice address

1562 Constitution Blvd
Suite 102
Rock Hill, SC 29732-3004

Phone

(803) 328-8865

Fax

(803) 328-8371

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michele Boyne, DMD

Title

Owner

Phone

(803) 328-8865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326264938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 CONSTITUTION BLVD",
            "address_2": "SUITE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323004",
            "telephone_number": "803-328-8865",
            "fax_number": "803-328-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CONSTITUTION BLVD",
            "address_2": "SUITE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323004",
            "telephone_number": "803-328-8865",
            "fax_number": "803-328-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHELE BOYNE, D.M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYNE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-328-8865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Isaacs
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• Ivyrehab Focus, Inc.
• J. Michele Boyne, DMD, L.L.C.
• Natalie Jacewicz, M.ED
• Jackson Pediatric Dentistry LLC
• Breanna Jackson, RBT
• Margaret Jackson

• Pediatric Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Pediatric Dentistry in South Carolina

• 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.