Individual provider · Type 1 NPI

Joanna Lea Boutwell, DDS

General Practice Dentistry · Simpsonville, SC

NPI number 1972255073 Active

About NPI 1972255073

Joanna Lea Boutwell, DDS's National Provider Identifier is 1972255073, issued on Jan 20, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Simpsonville, SC. The record was last updated on Jan 20, 2022.