Individual provider · Type 1 NPI
Darrell G. Boychuk, DDS, MS
Orofacial Pain Dentistry · St. Paul, MN
Practice location
2500 Como Ave
St. Paul, MN 55108-1460
Fax (651) 641-6295
Mailing address
8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 58751 (CA) |
| General Practice Dentistry | 1223G0001X | 13340 (MN) |
| Orofacial Pain Dentistry Primary | 1223X2210X | D13340 (MN) |
Orofacial Pain Dentistry: A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain…
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About NPI 1962698340
Darrell G. Boychuk, DDS, MS's National Provider Identifier is 1962698340, issued on Sep 19, 2007. The primary taxonomy on file is Orofacial Pain Dentistry (1223X2210X), and the practice location is in St. Paul, MN. The record was last updated on Oct 5, 2022.