Provider Demographics
NPI:1760052286
Name:CAROLE ANN BOYD, DDS P.C
Entity Type:Organization
Organization Name:CAROLE ANN BOYD, DDS P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-521-6261
Mailing Address - Street 1:4514 COLE AVE STE 905
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4184
Mailing Address - Country:US
Mailing Address - Phone:214-521-6261
Mailing Address - Fax:
Practice Address - Street 1:4514 COLE AVE STE 905
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-4184
Practice Address - Country:US
Practice Address - Phone:214-521-6261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery