Individual
DR. JOSEPH MCKINLEY BOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2205 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2832
(606) 248-3674
(606) 248-7277
Mailing address
2205 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2832
(606) 248-3674
(606) 248-7277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5144
STATE BOARD OF DENTISTRY
KY
05
—
60051448
—
KY
Enumeration date
01/30/2007
Last updated
07/08/2007
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