Lucas S Boe, DMD

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Cedar Falls, IA

NPI 1689801433 · NPPES record last updated Jan 10, 2023

Key facts

NPI
1689801433
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
08600 (IA)
Practice address
1013 Hudson Rd
Cedar Falls, IA 50613-2302
Phone
(319) 260-2077
Fax
(319) 260-2078
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
08600IAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Holahan & Boe Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics Current
since Jan 15, 2023
Accepting new patients

Locations

1013 Hudson Rd
Cedar Falls, IA 50613
Phone (319) 260-2077

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 08600 IA Yes

Addresses

Primary practice location

1013 Hudson Rd
Cedar Falls, IA 50613-2302

Mailing address

1013 Hudson Rd
Cedar Falls, IA 50613-2302
Phone (319) 260-2077

Other providers in Cedar Falls, IA

All providers in Cedar Falls, IA · Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.