Provider Demographics
NPI:1568471498
Name:BOSTON, ERIN LEIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:LEIGH
Last Name:BOSTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9630 N SAM HOUSTON PKWY E BLDG B
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4382
Mailing Address - Country:US
Mailing Address - Phone:281-359-9900
Mailing Address - Fax:281-359-9903
Practice Address - Street 1:9630 N SAM HOUSTON PKWY E BLDG B
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4382
Practice Address - Country:US
Practice Address - Phone:281-359-9900
Practice Address - Fax:281-359-9903
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice