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Dr. Jack Lee Boone, DDS
General Practice Dentistry in Hertford, North Carolina
NPI 1619907474

Jack Lee Boone is a General Practice Dentistry based in Hertford, NC and is specialized in General Practice. Jack Lee Boone practices in Hertford, NC and has the professional credentials of DDS. The NPI Number for Jack Lee Boone is 1619907474 and holds a License No. 3868 (North Carolina).

The current practice location address for Jack Lee Boone is 212 Ainsley Ave, Hertford, NC and can be reached out via phone at 252-426-5585 and via fax at 252-426-5766.

Location: 212 Ainsley Ave, Hertford, NC, 27944-1400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619907474
Provider Name
Jack Lee Boone
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
212 Ainsley Ave, Hertford, NC, 27944-1400
Phone Number
252-426-5585
Fax Number
252-426-5766
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8990862 05 NC
90862 01 NC BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
212 Ainsley Ave
City
Hertford
State
North Carolina
Zip
27944-1400
Phone Number
252-426-5585
Fax Number
252-426-5766
person
Provider Business Mailing Address Details
Address
212 Ainsley Ave
City
Hertford
State
North Carolina
Zip
27944-1400
Phone Number
252-426-5585
Fax Number
252-426-5766
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3868 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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