Individual provider · Type 1 NPI

Luther Jack Bolton, DDS MSD

Oral and Maxillofacial Surgery (Dentist) · Dallas, TX

NPI number 1730219783 Active

Practice location

1151 N Buckner Blvd, Suite 406
Dallas, TX 75218-3425

Call (214) 328-6354 Map

Fax (214) 327-7088

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XMA002685L (PA)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1730219783

Luther Jack Bolton, DDS MSD's National Provider Identifier is 1730219783, issued on Mar 7, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.