Bradley Boeke, D.D.S.

General Practice Dentistry · Rowlett, TX

Individual Active NPI

NPI number 1770628539

Practice location

4624 Lakeview Pkwy
Rowlett, TX 75088-4027
Phone
(972) 840-2020
Fax
(972) 694-0260

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NPI record

NPI
1770628539
Entity type
Individual (Type 1)
Enumeration date
February 20, 2007
Last updated
June 21, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13526 TX

Mailing address

4624 Lakeview Pkwy
Garland, TX 75088-4027
Phone
(972) 840-2020
Fax
(972) 694-0260

About Dr. Boeke

Bradley Boeke, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4624 Lakeview Pkwy, Rowlett, TX 75088-4027. The NPI number 1770628539 was assigned on February 20, 2007 and the record was last updated on June 21, 2017.

Dr. Boeke lists a license in the registry: #13526 (TX) 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 Bradley Boeke, D.D.S.?

The NPI number is 1770628539.

What is the phone number of Dr. Boeke?

The phone number listed for the practice location is (972) 840-2020.

Where is Dr. Boeke located?

4624 Lakeview Pkwy, Rowlett, TX 75088-4027.

What is the taxonomy code for Dr. Boeke?

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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