John Edwin Boland IV, D.D.S.

Dentist · Corte Madera, CA

Individual Active NPI

NPI number 1740322767

Practice location

770 Tamalpais Dr Ste 404
Corte Madera, CA 94925-1739
Phone
(415) 927-9052
Fax
(415) 927-2231

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NPI record

NPI
1740322767
Entity type
Individual (Type 1)
Enumeration date
February 13, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 39515 CA

About Dr. Boland

John Edwin Boland IV, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 770 Tamalpais Dr Ste 404, Corte Madera, CA 94925-1739. The NPI number 1740322767 was assigned on February 13, 2007 and the record was last updated on July 8, 2007.

Dr. Boland lists a license in the registry: #39515 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Edwin Boland IV, D.D.S.?

The NPI number is 1740322767.

What is the phone number of Dr. Boland?

The phone number listed for the practice location is (415) 927-9052.

Where is Dr. Boland located?

770 Tamalpais Dr Ste 404, Corte Madera, CA 94925-1739.

What is the taxonomy code for Dr. Boland?

The primary taxonomy code is 122300000X – Dentist.

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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