Michael Robert Boldt, DMD

General Practice Dentistry · Medford, OR

Individual Active NPI

NPI number 1336167329

Practice location

922 E Main St
Medford, OR 97504-7136
Phone
(541) 772-2756
Fax
(541) 772-3072

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NPI record

NPI
1336167329
Entity type
Individual (Type 1)
Enumeration date
July 17, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D6349 OR

About Dr. Boldt

Michael Robert Boldt, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 922 E Main St, Medford, OR 97504-7136. The NPI number 1336167329 was assigned on July 17, 2006 and the record was last updated on July 8, 2007.

Dr. Boldt lists a license in the registry: #D6349 (OR) 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 Michael Robert Boldt, DMD?

The NPI number is 1336167329.

What is the phone number of Dr. Boldt?

The phone number listed for the practice location is (541) 772-2756.

Where is Dr. Boldt located?

922 E Main St, Medford, OR 97504-7136.

What is the taxonomy code for Dr. Boldt?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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