Provider Demographics
NPI:1881683381
Name:BOYLE, JAMES MICHAEL III (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:BOYLE
Suffix:III
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 1:2251 EASTERN BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2917
Mailing Address - Country:US
Mailing Address - Phone:717-755-9695
Mailing Address - Fax:717-757-2274
Practice Address - Street 1:2251 EASTERN BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2917
Practice Address - Country:US
Practice Address - Phone:717-755-9695
Practice Address - Fax:717-757-2274
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029413L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
BB4976190OtherDEA
U64926Medicare UPIN
BO878369Medicare ID - Type Unspecified