Individual provider · Type 1 NPI

Jack Holland Boatman, DDS

General Practice Dentistry · San Clemente, CA

NPI number 1841391018 Active

Practice location

122 Avenida Cabrillo
San Clemente, CA 92672-4039

Call (949) 498-4110 Map

Fax (949) 498-8657

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X26810 (CA)

General Practice Dentistry: 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.

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About NPI 1841391018

Jack Holland Boatman, DDS's National Provider Identifier is 1841391018, issued on Sep 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Clemente, CA. The record was last updated on Jul 8, 2007.