Individual
DR. RICHARD PRENTICE BOYLE III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
(540) 951-8777
(540) 951-9642
Mailing address
100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
(540) 951-8777
(540) 951-9642
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401008696
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000697
—
VA
Enumeration date
11/01/2005
Last updated
07/08/2007
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