| Jerry L. Boshell, D.m.d., P.c. | |
|
1606 6th Ave S Jasper AL 35501-4640 | |
| (205) 221-2330 | |
| (205) 221-3961 |
| Full Name | Jerry L. Boshell, D.m.d., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1606 6th Ave S, Jasper, Alabama |
| Authorized Official Name and Position | Jerry L. Boshell (PRESIDENT) |
| Authorized Official Contact | 2052212330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry L. Boshell, D.m.d., P.c. 1606 6th Ave S P.o. Box 3125 Jasper AL 35501-4640 Ph: (205) 221-2330 | Jerry L. Boshell, D.m.d., P.c. 1606 6th Ave S Jasper AL 35501-4640 Ph: (205) 221-2330 |
| NPI Number | 1083883722 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083883722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3149 (Alabama) | Primary |
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