Richard R Boatman, DMD

NPI #1659439859 in Troy, Illinois

Provider Information

NPI Number: 1659439859
Entity Type: Individual
Name: Richard R Boatman, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 606 EDWARDSVILLE RD
City: Troy
State: Illinois
ZIP Code: 62294-1336
Phone: (618) 667-8020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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