Individual
DR. HERBERT REED BOYD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 861-5237
(804) 861-1601
Mailing address
23 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 861-5237
(804) 861-1601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005626
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006397
ANTHEM BCBS OF VA.
VA
01
—
844394
UNITED CONCORDIA PROVIDER
VA
05
—
9179969
—
VA
Enumeration date
08/30/2006
Last updated
07/09/2007
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