Provider Demographics
NPI:1881898039
Name:BOYD, COY MACARTHUR JR (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:COY
Middle Name:MACARTHUR
Last Name:BOYD
Suffix:JR
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516B ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7175
Mailing Address - Country:US
Mailing Address - Phone:870-930-9994
Mailing Address - Fax:870-930-9995
Practice Address - Street 1:2516B ALEXANDER DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7175
Practice Address - Country:US
Practice Address - Phone:870-930-9994
Practice Address - Fax:870-930-9995
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR31591223G0001X
AR291223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223E0200XDental ProvidersDentistEndodontics