Organization
TERRY L BOONE DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L BOONE D.D.S.,M.S (OWNER)
(870) 267-1423
Entity
Organization
Contact information
Practice address
7197 SHERIDAN RD STE 115, WHITE HALL, AR 71602-3261
(870) 267-1423
Mailing address
7197 SHERIDAN RD STE 115, WHITE HALL, AR 71602-3261
(870) 267-1423
(870) 267-1424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102144608
—
AR
Enumeration date
12/03/2020
Last updated
12/08/2020
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