Provider Demographics
NPI:1811082050
Name:BOYD, DAVID GARLAND (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GARLAND
Last Name:BOYD
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:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-0429
Mailing Address - Country:US
Mailing Address - Phone:662-256-7163
Mailing Address - Fax:662-256-9717
Practice Address - Street 1:805 MAIN ST N
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-1843
Practice Address - Country:US
Practice Address - Phone:662-256-7163
Practice Address - Fax:662-256-9717
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2461-891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice