Terry L Boone DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TERRY L BOONE DDS, PA

Practice address

7197 Sheridan Rd Ste 115
White Hall, AR 71602-3261

Phone

(870) 267-1423

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Terry L Boone, D.D.S.,M.SNPI 1376691873

Title

Owner

Phone

(870) 267-1423

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Lynn Boone, DDS,MS

  • Pediatric Dentistry
  • White Hall, AR
  • NPI 1376691873
  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1609471895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7197 SHERIDAN RD STE 115",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023261",
            "telephone_number": "870-267-1423",
            "fax_number": "870-267-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7197 SHERIDAN RD STE 115",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023261",
            "telephone_number": "870-267-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L BOONE DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-267-1423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102144608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Stephens, APRN-CNP
• Ashley Steward, LCSW
• Rachel Stone
• Joshua Strong
• Sunrise Outreach Solutions
• The Waters of White Hall, LLC
• Marquetta Thompson, PLMSW
• Nikki Thornton, LCSW
• Thrive Pediatric Nursing Inc
• Thrive Pediatric Nursing Inc

• Dental Clinic/Center in White Hall, AR
• Providers in White Hall, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.