Provider Demographics
NPI:1497843817
Name:BOYD, NORMAN WINGATE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:WINGATE
Last Name:BOYD
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:515 MADISON AVE
Mailing Address - Street 2:SUITE 1616
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-755-9055
Mailing Address - Fax:212-371-3664
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:SUITE 1616
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-755-9055
Practice Address - Fax:212-371-3664
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY274181223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics