Provider Demographics
NPI:1871664573
Name:ARGO, BOYD W (DDS)
Entity Type:Individual
Prefix:DR
First Name:BOYD
Middle Name:W
Last Name:ARGO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 E BROOKHAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4502
Mailing Address - Country:US
Mailing Address - Phone:901-685-8228
Mailing Address - Fax:901-685-0472
Practice Address - Street 1:748 E BROOKHAVEN CIR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4502
Practice Address - Country:US
Practice Address - Phone:901-685-8228
Practice Address - Fax:901-685-0472
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0027241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0160851OtherBLUE CROSS AND BLUE SHIEL