Individual provider · Type 1 NPI

Michael Troy Board, DDS

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1417518069 Active

Practice location

1250 E Marshall St
Richmond, VA 23298-5051

Call (804) 828-9000 Map

Mailing address

5357 Snow Owl Dr
Roanoke, VA 24018-5076

Other practice locations

  • 520 N 12th St, Richmond, VA 23298-5064 · (804) 628-6637

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X0401416569 (VA)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X0401416569 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000X0401416569 (VA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1417518069

Michael Troy Board, DDS's National Provider Identifier is 1417518069, issued on Jun 25, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Sep 19, 2019.