Organization
KATHLEEN S. BOYD, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN S BOYD D.D.S. (ENDODONTIST)
(704) 637-3636
Entity
Organization
Contact information
Practice address
640 STATESVILLE BLVD, SUITE 3, SALISBURY, NC 28144-2282
(704) 637-3636
(704) 637-3184
Mailing address
640 STATESVILLE BLVD, SUITE 3, SALISBURY, NC 28144-2282
(704) 637-3636
(704) 637-3184
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341264
BCBS TRIGON
—
01
—
4010411
BCBS
TN
01
—
795487
UNITED CONCORDIA
—
05
—
8990893
—
NC
01
—
90893
BCBS
NC
01
—
V06007
BCBS
TX
Enumeration date
05/31/2007
Last updated
08/22/2020
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