NPI 1003124397

Jared Michael Boyd, DDS

Practitioner Dentist Shreveport, LA

Practice location

Address: 2042 Line Ave, Shreveport, LA 71104-2125
Phone: (318) 425-5356
Fax: (318) 674-2898

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6191 (LA)

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Registry record

NPI: 1003124397
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2010
Record last updated: 14 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.