Organization · Type 2 NPI
Jerry L. Boshell, D.m.d., P.c.
Dental Clinic/Center · Jasper, AL
NPI number
1083883722
Active
Practice location
1606 6th Ave S
Jasper, AL 35501-4640
Fax (205) 221-3961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3149 (AL) |
Dental Clinic/Center: Definition to come...
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About NPI 1083883722
Jerry L. Boshell, D.m.d., P.c.'s National Provider Identifier is 1083883722, issued on Feb 27, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jasper, AL. The record was last updated on Feb 27, 2008.