David Garland Boyd, DDS

Individual provider Active NPI General Practice Dentistry · Amory, MS

NPI 1811082050 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811082050
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2461-89 (MS)
Practice address
805 Main St N
Amory, MS 38821-1843
Phone
(662) 256-7163
Fax
(662) 256-9717
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

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
2461-89MSMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2461-89 MS Yes

Addresses

Primary practice location

805 Main St N
Amory, MS 38821-1843

Mailing address

PO Box 429
Amory, MS 38821-0429
Phone (662) 256-7163

Other providers in Amory, MS

All providers in Amory, MS · General Practice Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.