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Dr. Beau Bolding, DDS
General Practice Dentistry in Horn Lake, Mississippi
NPI 1659028652

Beau Bolding is a General Practice Dentistry based in Jackson, MS and is specialized in General Practice. Beau Bolding practices in Horn Lake, MS and has the professional credentials of DDS. The NPI Number for Beau Bolding is 1659028652 and holds a License No. 11954 (Mississippi).

The current practice location address for Beau Bolding is 2154 Goodman Rd W, Horn Lake, MS and can be reached out via phone at 662-393-9300.

Location: 2154 Goodman Rd W, Horn Lake, MS, 38305-9428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659028652
Provider Name
Beau Bolding
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2154 Goodman Rd W, Horn Lake, MS, 38305-9428
Phone Number
662-393-9300
Fax Number
Provider Enumeration Date
03/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2154 Goodman Rd W
City
Horn Lake
State
Mississippi
Zip
38637-1303
Phone Number
662-393-9300
Fax Number
person
Provider Business Mailing Address Details
Address
2154 Goodman Rd W
City
Horn Lake
State
Mississippi
Zip
38637-1303
Phone Number
662-393-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11954 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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