Organization
R BOYD HENDRIX DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R BOYD HENDRIX DMD (PRESIDENT)
(803) 794-5555
Entity
Organization
Contact information
Practice address
1534 PLATT SPRINGS ROAD, WEST COLUMBIA, SC 29169
(803) 794-5555
(803) 791-8490
Mailing address
PO BOX 4855, WEST COLUMBIA, SC 29171
(803) 794-5555
(803) 791-8490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2870
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9967
—
SC
Enumeration date
11/27/2006
Last updated
08/22/2020
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