Individual
DR. DAVID M BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
118 E MAIN ST, PORTAGEVILLE, MO 63873-1612
(573) 379-3650
(573) 379-5143
Mailing address
118 E MAIN ST, PORTAGEVILLE, MO 63873-1612
(573) 379-3650
(573) 379-5143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015415
MO
332B00000X
Durable Medical Equipment & Medical Supplies
015415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015415
MO. LICENSE NUMBER
MO
05
—
403349400
—
MO
Enumeration date
03/22/2007
Last updated
02/27/2020
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