Individual
DR. JENNIFER M BOYD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 W DAYTON ST, FREMONT, MI 49412
(231) 924-3600
(231) 924-9720
Mailing address
111 W DAYTON ST, PO BOX 437, FREMONT, MI 49412
(231) 924-3600
(231) 924-9720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
JB019159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191590
BCBS IND
MI
01
—
0808140
BCBS GRP
MI
Enumeration date
05/03/2006
Last updated
07/08/2007
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