location
search-icon
person
Dr. Jack Holland Boatman, DDS
General Practice Dentistry in San Clemente, California
NPI 1841391018

Jack Holland Boatman is a General Practice Dentistry based in San Clemente, CA and is specialized in General Practice. Jack Holland Boatman practices in San Clemente, CA and has the professional credentials of DDS. The NPI Number for Jack Holland Boatman is 1841391018 and holds a License No. 26810 (California).

The current practice location address for Jack Holland Boatman is 122 Avenida Cabrillo, San Clemente, CA and can be reached out via phone at 949-498-4110 and via fax at 949-498-8657.

Location: 122 Avenida Cabrillo, San Clemente, CA, 92672-4039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841391018
Provider Name
Jack Holland Boatman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
122 Avenida Cabrillo, San Clemente, CA, 92672-4039
Phone Number
949-498-4110
Fax Number
949-498-8657
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
122 Avenida Cabrillo
City
San Clemente
State
California
Zip
92672-4039
Phone Number
949-498-4110
Fax Number
949-498-8657
person
Provider Business Mailing Address Details
Address
122 Avenida Cabrillo
City
San Clemente
State
California
Zip
92672-4039
Phone Number
949-498-4110
Fax Number
949-498-8657
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
26810 (California)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.