Jordan Randall Boland, DDS

Dentist · Olean, NY

Individual Active NPI

NPI number 1063162352

Practice location

2108 W State St
Olean, NY 14760-1952
Phone
(716) 373-1210

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NPI record

NPI
1063162352
Entity type
Individual (Type 1)
Enumeration date
March 28, 2022
Last updated
September 7, 2023
Certified
September 7, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 063307 NY
General Practice Dentistry 1223G0001X 063307 NY

About Dr. Boland

Jordan Randall Boland, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2108 W State St, Olean, NY 14760-1952. The NPI number 1063162352 was assigned on March 28, 2022 and the record was last updated on September 7, 2023.

Dr. Boland lists 2 licenses in the registry: #063307 (NY) for Dentist; #063307 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordan Randall Boland, DDS?

The NPI number is 1063162352.

What is the phone number of Dr. Boland?

The phone number listed for the practice location is (716) 373-1210.

Where is Dr. Boland located?

2108 W State St, Olean, NY 14760-1952.

What is the taxonomy code for Dr. Boland?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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