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Dr. Richard Todd Boone, DDS
Oral and Maxillofacial Surgery (Dentist) in Ada, Oklahoma
NPI 1730172263

Richard Todd Boone is a Oral and Maxillofacial Surgery (Dentist) based in Ada, OK and is specialized in Oral and Maxillofacial Surgery. Richard Todd Boone practices in Ada, OK and has the professional credentials of DDS. The NPI Number for Richard Todd Boone is 1730172263 and holds a License No. 4808 (Oklahoma).

The current practice location address for Richard Todd Boone is 803 N Monte Vista St, Ada, OK and can be reached out via phone at 580-332-3010 and via fax at 580-332-1302.

Location: 803 N Monte Vista St, Ada, OK, 74820-7711
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Provider Profile Details
NPI Number
1730172263
Provider Name
Richard Todd Boone
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
803 N Monte Vista St, Ada, OK, 74820-7711
Phone Number
580-332-3010
Fax Number
580-332-1302
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100112550A 05 OK
787600 01 OK UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
803 N Monte Vista St
City
Ada
State
Zip
74820-7711
Phone Number
580-332-3010
Fax Number
580-332-1302
person
Provider Business Mailing Address Details
Address
803 N Monte Vista St
City
Ada
State
Zip
74820-7711
Phone Number
580-332-3010
Fax Number
580-332-1302
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
4808 (Oklahoma)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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