Keith Alan Boxerman, DDM in Kenwood, CA - Dentist

Keith Alan Boxerman, DDM is a Dentist - General Practice based in Kenwood, California. Keith Alan Boxerman is licensed to practice in California (license number 26959) and his current practice location is 8855 Sonoma Highway, Kenwood, California. He can be reached at his office (for appointments etc.) via phone at (707) 833-2643.

NPI number for Keith Alan Boxerman is 1942427133 and his current mailing address is 8855 Sonoma Highway, P O Box 717, Kenwood, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942427133.

Contact Information

	Keith Alan Boxerman, DDM
	8855 Sonoma Highway, Kenwood, CA 95452
	(707) 833-2643
	(707) 833-5903

Healthcare Provider's Profile

Full Name	Keith Alan Boxerman
Gender	Male
Speciality	Dentist - General Practice
Location	8855 Sonoma Highway, Kenwood, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1942427133
Provider Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Keith Alan Boxerman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942427133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	26959 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Alan Boxerman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith Alan Boxerman, DDM 8855 Sonoma Highway, P O Box 717, Kenwood, CA 95452 Ph: (707) 833-2643	Keith Alan Boxerman, DDM 8855 Sonoma Highway, Kenwood, CA 95452 Ph: (707) 833-2643

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Keith Alan Boxerman, DDM - Dentist in Kenwood, CA