Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK LEE BOONE, DDS
ActiveDR. JACK LEE BOONE, DDS is a General Dentistry healthcare provider located in HERTFORD, North Carolina. NPI 1619907474 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HERTFORD, NC
Registration Details
- NPI Number
- 1619907474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (19.931001225642 yrs)
- Last Updated
- Jul 9, 2007
- License
-
3868 (NC)
Practice Information
- Address
-
212 AINSLEY AVEHERTFORD, NC, 279441400Browse NC providers · Browse ZIP 27944
- Phone
- 2524265585
- Fax
- 2524265766
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.