Jeffrey T. Boland, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021001836 Issued in IL

Practice address

455 N York St
Elmhurst, IL 60126-2003

Phone

(630) 279-5577

Fax

(630) 279-5599

NPI assigned

Mar 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1578734653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262003",
            "telephone_number": "630-279-5577",
            "fax_number": "630-279-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262003",
            "telephone_number": "630-279-5577",
            "fax_number": "630-279-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "JEFFREY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021001836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Bodine, MA, CCC-SLP
• Pauline Krandel Bogdanoff, LCSW
• Stephen P. Boghossian, M.D.
• Derek Lance Bohm, PA
• Ava Grace Bohringer
• Andrew Bolis, PHARMD
• Bolsen Health Center
• Mark Fletcher Bordick, PA-C
• Djordje Boskov, M.D.
• Tanja S Boskov, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.