DR. Jerri Anne Boughan, DMD
NPI #1982719431 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1982719431
- Entity Type
- Individual
- Name
- DR. Jerri Anne Boughan, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Jun 2, 2015
Practice Location
- Address
- 2300 JAMES ST
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439-2089
- Phone
- (618) 943-5664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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| DR. Tracey Ray Hughes, D.D.S. | |
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Organizations
| Provider Name | |
|---|---|
| Lockport Dental Group, Ltd | |
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