# DR DANIEL BOEH DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184827446
- **Authorized official:** DR. DANIEL GARDNER BOEH (PRESIDENT)
- **Authorized official phone:** (270) 554-1324

## Contact information

- **Practice address:** 100 FOUNTAIN AVE, SUITE \#314, PADUCAH, KY 42001
- **Practice address phone:** (270) 444-6032
- **Practice address fax:** (270) 444-7843
- **Mailing address:** 100 FOUNTAIN AVE, SUITE \#314, PADUCAH, KY 42001
- **Mailing address phone:** (270) 444-6032
- **Mailing address fax:** (270) 444-7843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 222 | KY | — |
| 122300000X | Dentist | 3752 | KY | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 08/22/2020