| Carl Anthony Boykin, Dmd | |
|
217 S Extension St Hazlehurst MS 39083-3322 | |
| (601) 894-4244 | |
| (601) 894-4344 |
| Full Name | Carl Anthony Boykin, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 217 S Extension St, Hazlehurst, Mississippi |
| Authorized Official Name and Position | Carl Anthony Boykin (SOLE PROPRIETOR) |
| Authorized Official Contact | 6018128686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Anthony Boykin, Dmd 217 S Extension St Hazlehurst MS 39083-3322 Ph: (601) 894-4244 | Carl Anthony Boykin, Dmd 217 S Extension St Hazlehurst MS 39083-3322 Ph: (601) 894-4244 |
| NPI Number | 1750699039 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750699039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3431-07 (Mississippi) | Primary |
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