| Jack L. Boone, Dds, Pa | |
|
212 Ainsley Ave Hertford NC 27944-1400 | |
| (252) 426-5585 | |
| (252) 426-5766 |
| Full Name | Jack L. Boone, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 212 Ainsley Ave, Hertford, North Carolina |
| Authorized Official Name and Position | Jack Lee Boone (DDS) |
| Authorized Official Contact | 2524265585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack L. Boone, Dds, Pa 212 Ainsley Ave Hertford NC 27944-1400 Ph: (252) 426-5585 | Jack L. Boone, Dds, Pa 212 Ainsley Ave Hertford NC 27944-1400 Ph: (252) 426-5585 |
| NPI Number | 1689840654 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689840654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3868 (North Carolina) | Primary |
Dental Transformations-hertford Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Ainsley Ave, Hertford, NC 27944 Phone: 252-335-4341 | |
Douglas W Perry Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Perry Long Rd, Hertford, NC 27944 Phone: 252-426-9140 Fax: 252-426-1270 |