Organization
BOYETT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT EDGEWORTH BOYETT D.M.D., D.O. (OWNER)
(205) 921-0893
Entity
Organization
Contact information
Practice address
2131 MILITARY ST S, HAMILTON, AL 35570-6651
(205) 921-0893
(205) 921-6723
Mailing address
PO BOX 747, HAMILTON, AL 35570-0747
(205) 921-0893
(205) 921-6723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4622
AL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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