Dr. Jennifer N Boles, DDS,LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. JENNIFER N BOLES, DDS,LLC

Practice address

1403 Johnson St
Tallulah, LA 71282-5513

Phone

(318) 341-1242

NPI assigned

Jun 9, 2026

Organization subpart

No

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

Authorized official

Name

Jennifer Newton Boles, DDS

Title

Dentist

Phone

(318) 341-1242

Specialties & licenses 1

Addresses

Tax ID family

Dr Jennifer N Boles DDS LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Jennifer N. Boles, DDS, LLC

  • General Practice Dentistry
  • Mangham, LA
  • NPI 1184937906
  NPD tax ID
• Dr. Jennifer N. Boles, DDS, LLC

  • General Practice Dentistry
  • Rayville, LA
  • NPI 1225308398
  NPD tax ID

Locations

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1740114529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825513",
            "telephone_number": "318-341-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JENNIFER N BOLES, DDS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-341-1242",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tallulah, LA
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.