Provider Demographics
NPI:1588005326
Name:BOYD, GILMER ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:GILMER
Middle Name:ANDREW
Last Name:BOYD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2121 S DOWNING ST STE B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4527
Mailing Address - Country:US
Mailing Address - Phone:720-573-2629
Mailing Address - Fax:
Practice Address - Street 1:2121 S DOWNING ST STE B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4527
Practice Address - Country:US
Practice Address - Phone:720-573-2629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN002020131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice