Dr Jennifer Newton Boles, DDS is a
Dentist - General Practice based in Mangham, Louisiana. Dr Jennifer Newton Boles is licensed to practice in Louisiana (license number 5050) and her current practice location is
4279 Highway 15, Mangham, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 248-4986.
NPI number for Dr Jennifer Newton Boles is 1386754620 and her current mailing address is 4279 Hwy 15, Mangham, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386754620.
Healthcare Provider's Profile
Full Name | Dr Jennifer Newton Boles |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 4279 Highway 15, Mangham, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386754620
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 03/13/2023
Medical Identifiers
Medical identifiers for Dr Jennifer Newton Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386754620 | NPI | - | NPPES |
1850501 | Medicaid | LA | |
5050 | Other | LA | STATE LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5050 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Newton Boles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jennifer Newton Boles, DDS 4279 Hwy 15, Mangham, LA 71259 Ph: (318) 248-4986 | Dr Jennifer Newton Boles, DDS 4279 Highway 15, Mangham, LA 71259-5189 Ph: (318) 248-4986 |
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