Active NPIIndividual providerSole proprietor

Dr. Paul L Booth, DDS

Dentist, General Practice in Hyannis, Massachusetts

NPI Number1104020304
Practice location
100 Independence Dr, Hyannis, MA 02601-1898
Fax
508-790-9428
Last updated
July 8, 2007

Paul Landis Booth is a Dentist, General Practice based in Hyannis, MA. Paul Landis Booth practices in Hyannis, MA and has the professional credentials of DDS. The NPI Number for Paul Landis Booth is 1104020304 and holds a License No. 19245 (MA). The current practice location address for Paul Landis Booth is 100 Independence Dr, Hyannis, MA 02601-1898 and can be reached out via phone at 508-790-8300 and via fax at 508-790-9428.

Provider Profile Details

NPI Number
1104020304
Provider Name
Paul Landis Booth
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
100 Independence Dr, Hyannis, MA 02601-1898
Phone Number
508-790-8300
Fax Number
508-790-9428
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Independence Dr
Hyannis, MA 02601-1898
Zip
02601-1898
Phone Number
508-790-8300
Fax Number
508-790-9428
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
100 Independence Drive
Hyannis, MA 02601
City
Hyannis
State
MA
Zip
02601
Phone Number
508-790-8300
Fax Number
508-790-9428

License Information

License Number
19245
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Paul L Booth, DDS?

The NPI number of Dr. Paul L Booth, DDS is 1104020304. It was assigned on June 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul L Booth, DDS?

Dr. Paul L Booth, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19245.

Where does Dr. Paul L Booth, DDS practice?

The practice location is 100 Independence Dr, Hyannis, MA 02601-1898. The office can be reached at 508-790-8300 (phone) or 508-790-9428 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104020304 directly on the NPPES registry website.

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