Provider Demographics
NPI:1346322195
Name:BOYKIN, CALVIN VICTOR JR (DMD)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:VICTOR
Last Name:BOYKIN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7321 SAINT ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2817
Mailing Address - Country:US
Mailing Address - Phone:803-781-2930
Mailing Address - Fax:803-567-5461
Practice Address - Street 1:7321 SAINT ANDREWS RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2817
Practice Address - Country:US
Practice Address - Phone:803-781-2930
Practice Address - Fax:803-567-5461
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC4113122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZ20709Medicare ID - Type Unspecified