Individual
JODY H. BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
711 N PIKE ST, GRAFTON, WV 26354-1221
(304) 265-4600
(304) 265-6008
Mailing address
PO BOX 399, GRAFTON, WV 26354-0399
(304) 265-0312
(304) 265-0314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3465
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4001010-000
—
WV
Enumeration date
09/06/2006
Last updated
07/09/2007
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