Jack L. Boone, Dds, PA

NPI #1689840654 in Hertford, North Carolina

Provider Information

NPI Number: 1689840654
Entity Type: Organization
Organization Name: Jack L. Boone, Dds, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 212 AINSLEY AVE
City: Hertford
State: North Carolina
ZIP Code: 27944-1400
Phone: (252) 426-5585

Authorized Official

Name: DR. JACK LEE BOONE, DDS
Title: DDS
Phone: (252) 426-5585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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