Organization
BOYD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MCKENZY K BOYD DDS (OWNER)
(318) 425-5356
Entity
Organization
Contact information
Practice address
2042 LINE AVE, SHREVEPORT, LA 71104-2125
(318) 425-5356
(318) 674-2898
Mailing address
2042 LINE AVE, SHREVEPORT, LA 71104-2125
(318) 425-5356
(318) 674-2898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6190
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003124397
NPI
LA
01
—
1457664906
NPI
LA
Enumeration date
03/07/2017
Last updated
03/07/2017
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