Provider Demographics
NPI:1306849054
Name:BOYD, JAYNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 S RIVER RD
Mailing Address - Street 2:UNIT 44
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6723
Mailing Address - Country:US
Mailing Address - Phone:603-622-7262
Mailing Address - Fax:
Practice Address - Street 1:40 S RIVER RD
Practice Address - Street 2:UNIT 44
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6723
Practice Address - Country:US
Practice Address - Phone:603-622-7262
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH24401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice