Provider Demographics
NPI:1780241000
Name:RANSEY P. BOYD DMD, PA
Entity type:Organization
Organization Name:RANSEY P. BOYD DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANSEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:850-509-1411
Mailing Address - Street 1:2570 BARRINGTON CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-6802
Mailing Address - Country:US
Mailing Address - Phone:850-878-4117
Mailing Address - Fax:850-878-6748
Practice Address - Street 1:2570 BARRINGTON CIR STE 2
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-6802
Practice Address - Country:US
Practice Address - Phone:850-878-4117
Practice Address - Fax:850-878-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental