Individual
DR. ROBERT B BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 DORSET ST, SUITE 260, SOUTH BURLINGTON, VT 05403-6256
(802) 863-5335
(802) 863-9087
Mailing address
150 DORSET ST, SUITE 260, SOUTH BURLINGTON, VT 05403-6256
(802) 863-5335
(802) 863-9087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1053
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002552
—
VT
01
—
619776
UNITED CONCORDIA PROVIDER
VT
01
—
919-19983
BCBS PROVIDER NUMBER
VT
Enumeration date
04/12/2007
Last updated
07/09/2007
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